Imperial Beach Optometric Corporation
NPI 1790249563 · Optometrist · San Diego, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Imperial Beach Optometric Corporation is a Optometrist organization in San Diego, CA (NPI 1790249563).
Provider details
- NPI number
- 1790249563
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- May Tam, Iboc Vice President(619) 297-2020
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Optom-Eyes Vision Care
- Doing business as
- Optom-Eyes Vision Care
Additional practice locations (1)
- 812 N Imperial AveEl Centro, CA 92243-1916Phone: (760) 352-7460Fax: (888) 210-5799
Registry dates
- Enumerated
- 2019-01-25
- Last updated
- 2025-07-03
- Certified
- 2025-07-03
Frequently asked questions
- What is Imperial Beach Optometric Corporation's NPI number?
- Imperial Beach Optometric Corporation's National Provider Identifier (NPI) is 1790249563, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Imperial Beach Optometric Corporation?
- Imperial Beach Optometric Corporation is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Imperial Beach Optometric Corporation located?
- Imperial Beach Optometric Corporation's practice location on file with NPPES is 1555 Palm Ave Ste A2, San Diego, CA 92154-1012.
- What is Imperial Beach Optometric Corporation's phone number?
- The practice phone number listed in the NPPES registry for Imperial Beach Optometric Corporation is (619) 297-2020.
- Does Imperial Beach Optometric Corporation accept Medicare?
- Imperial Beach Optometric Corporation is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Imperial Beach Optometric Corporation?
- The authorized official listed on Imperial Beach Optometric Corporation's NPPES record is May Tam, Iboc Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Imperial Beach Optometric Corporation's NPI active?
- Yes — Imperial Beach Optometric Corporation's NPI (1790249563) is active in the NPPES registry as of the last update on 2025-07-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.