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PINHKEO SOUTHAPHANH O D INC
NPI 1104371343
Optometrist in Lompoc, CA

Active since August 17, 2016
415 E OCEAN AVE STE B, LOMPOC, CA 93436(805) 819-0742(805) 741-7367 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 22, 2024, Apr 21, 2017, Aug 17, 2016 (3 updates tracked since 2016).

About Pinhkeo Southaphanh O D Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PINHKEO SOUTHAPHANH O D INC (NPI 1104371343) is a healthcare organization registered as an optometrist in Lompoc, California and active in the NPI registry since August 2016. The organization lists Pinhkeo Southaphanh, President, as its authorized official.

NPPES Registry Identity

NPI1104371343
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NamePINHKEO SOUTHAPHANH O D INC
Location Address415 E OCEAN AVE STE BLompoc, CA 93436-6839
Mailing Address415 E Ocean Ave Ste BLompoc, CA 93436-6839 · (805) 819-0742 · Fax (805) 741-7367
Phone(805) 819-0742
Fax(805) 741-7367
Organization SubpartNo
Authorized OfficialPinhkeo SouthaphanhPresident · (805) 819-0742
Enumeration DateAugust 17, 2016
Last NPPES UpdateJuly 22, 20243 updates tracked since enumeration
NPPES CertifiedJuly 22, 2024
✔ NPI 1104371343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CA · 12359TLG
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
415 E OCEAN AVE STE B, Lompoc, CA 93436
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Other Identifiers 1

Medicaid1538139381CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pinhkeo Southaphanh O D Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Pinhkeo Southaphanh O D Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Pinhkeo Southaphanh, O.D.
Optometry
NPI 1538139381
415 E OCEAN AVE STE B
Lompoc, CA 93436
(805) 682-9417
✔ PECOS✔ Accepts Medicare0.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Pinhkeo Southaphanh O D Inc's NPI number?

The NPI number for Pinhkeo Southaphanh O D Inc is 1104371343. It was assigned to this organization in the NPPES registry on August 17, 2016.

Where is Pinhkeo Southaphanh O D Inc located?

Pinhkeo Southaphanh O D Inc is located at 415 E Ocean Ave Ste B, Lompoc, CA 93436. The listed phone number is (805) 819-0742.

What is Pinhkeo Southaphanh O D Inc's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Pinhkeo Southaphanh O D Inc enrolled in Medicare?

Yes. Pinhkeo Southaphanh O D Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pinhkeo Southaphanh O D Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Pinhkeo Southaphanh O D Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Pinhkeo Southaphanh O D Inc accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list Pinhkeo Southaphanh O D Inc 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 Pinhkeo Southaphanh O D Inc was last updated on July 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.