DR. QUEEN LUCKY THACH O.D.
NPI 1053841478
Optometrist in El Cajon, CA
About Dr. Queen Lucky Thach O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. QUEEN LUCKY THACH O.D. (NPI 1053841478) is an individual optometrist in El Cajon, California, licensed in California (OPT33685-TLG) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of Nova Southeastern Univ College Of Dental Medicine (2017).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Queen Lucky Thach O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
8Medicare enrollment records show Queen Thach reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
El Cajon, CA 92020
- Reassigned Medicare billing, California enrollment
- 577 clinicians in this Medicare group
Alpine, CA 91901
- Reassigned Medicare billing, Texas enrollment
- 33 clinicians in this Medicare group
San Diego, CA 92128
- Reassigned Medicare billing, California enrollment
- 236 clinicians in this Medicare group
Lake Forest, CA 92630
- Reassigned Medicare billing, California enrollment
- 67 clinicians in this Medicare group
Monterey, CA 93940
- Reassigned Medicare billing, California enrollment
- 18 clinicians in this Medicare group
Gold River, CA 95670
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Eye Center Optometrics A Professional Corporation
- 28 clinicians in this Medicare group
Syracuse, NY 13224
- Reassigned Medicare billing, New York enrollment
- 243 clinicians in this Medicare group
Ozone Park, NY 11416
- Reassigned Medicare billing, New York enrollment
- 24 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92019 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Queen Thach's NPI number?
The NPI number for Queen Thach is 1053841478. It was assigned to this individual provider in the NPPES registry on June 18, 2017.
Where is Queen Thach located?
Queen Thach practices at 2907 Jamacha Rd Ste A, El Cajon, CA 92019. The listed phone number is (619) 660-0272.
What is Queen Thach's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Queen Thach enrolled in Medicare?
Yes. Queen Thach is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Queen Thach's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Queen Thach reassigns Medicare benefits to 8 organizations: Centro De Salud De La Comunidad De San Ysidro, Inc. (El Cajon, CA), Southern Indian Health Council (Alpine, CA), Total Vision PC (San Diego, CA), Fifth Optometric Care Of California (Lake Forest, CA), Eyemd On Cass A Professional Corporation (Monterey, CA) and 3 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Queen Thach's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Queen Thach accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 10 other insurers list Queen Thach as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Queen Thach was last updated on April 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Queen Lucky Thach, O.D. · NPI 1053841478
Optometrist provider in El Cajon, California. Individual provider, active in the CMS NPPES registry since June 18, 2017.
## Identity
- **NPI:** 1053841478 (Entity type: Individual)
- **Enumerated:** June 18, 2017
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** OPT33685-TLG (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2907 JAMACHA RD STE A, El Cajon, CA 92019-4342
- **Phone:** (619) 660-0272 · **Fax:** (619) 660-0310
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Centro De Salud De La Comunidad De San Ysidro, Inc. (NPI 1568845741, El Cajon, CA); Southern Indian Health Council (NPI 1346247947, Alpine, CA); Total Vision PC (NPI 1356813711, San Diego, CA); Fifth Optometric Care Of California (NPI 1275319451, Lake Forest, CA); Eyemd On Cass A Professional Corporation (NPI 1205095742, Monterey, CA); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Nova Southeastern Univ College Of Dental Medicine, class of 2017
## Record status
- **NPPES last updated:** April 15, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1053841478) · Data from the CMS NPPES public registry.