SAN DIEGO EYELID SPECIALISTS, INC.
NPI 1124485784
Ophthalmology in Encinitas, CA

Active since January 26, 2016
477 N EL CAMINO REAL, A304, ENCINITAS, CA 92024(858) 432-2700 Get Directions Write a Review

NPPES record last updated: September 23, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 23, 2016, Jan 26, 2016 (2 updates tracked since 2016).

About San Diego Eyelid Specialists, Inc. NPPES

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

SAN DIEGO EYELID SPECIALISTS, INC. (NPI 1124485784) is a healthcare organization registered as an ophthalmology in Encinitas, California and active in the NPI registry since January 2016. The organization lists Srinivas Iyengar, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1124485784
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameSAN DIEGO EYELID SPECIALISTS, INC.
Location Address477 N EL CAMINO REAL, A304Encinitas, CA 92024-1328
Mailing Address477 N El Camino Real, A304Encinitas, CA 92024-1328
Organization SubpartNo
Authorized OfficialSrinivas IyengarManaging Partner · (760) 456-9462
Enumeration DateJanuary 26, 2016
Last NPPES UpdateSeptember 23, 20162 updates tracked since enumeration
✔ NPI 1124485784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in CA · A105824
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
477 N EL CAMINO REAL, Encinitas, CA 92024

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

San Diego Eyelid Specialists, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to San Diego Eyelid Specialists, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Ophthalmology
NPI 1104030055
477 N EL CAMINO REAL C-308
Encinitas, CA 92024
(760) 942-9225
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1306473541
1504 TAUB LOOP
Houston, TX 77030
(713) 526-4243
✔ PECOS✔ Accepts Medicare1,310 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 San Diego Eyelid Specialists, Inc.'s NPI number?

The NPI number for San Diego Eyelid Specialists, Inc. is 1124485784. It was assigned to this organization in the NPPES registry on January 26, 2016.

Where is San Diego Eyelid Specialists, Inc. located?

San Diego Eyelid Specialists, Inc. is located at 477 N El Camino Real A304, Encinitas, CA 92024. The listed phone number is (858) 432-2700.

What is San Diego Eyelid Specialists, Inc.'s specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is San Diego Eyelid Specialists, Inc. enrolled in Medicare?

Yes. San Diego Eyelid Specialists, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through San Diego Eyelid Specialists, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Ophthalmology, reassign their Medicare billing to San Diego Eyelid Specialists, 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for San Diego Eyelid Specialists, Inc. was last updated on September 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.