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NEWPORT AVENUE OPTOMETRY INC.
NPI 1306497888
Optometrist in San Diego, CA

Active since September 25, 2019
4822 NEWPORT AVE, SAN DIEGO, CA 92107(619) 222-0559(619) 222-0231 Get Directions Write a Review

NPPES record last updated: October 18, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 18, 2019, Sep 25, 2019 (2 updates tracked since 2019).

About Newport Avenue Optometry Inc. NPPES

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

NEWPORT AVENUE OPTOMETRY INC. (NPI 1306497888) is a healthcare organization registered as an optometrist in San Diego, California and active in the NPI registry since September 2019. The organization lists Eli Ben Moshe, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1306497888
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameNEWPORT AVENUE OPTOMETRY INC.
Location Address4822 NEWPORT AVESan Diego, CA 92107-3111
Mailing Address4822 Newport AveSan Diego, CA 92107-3111 · (619) 222-0559 · Fax (619) 222-0231
Phone(619) 222-0559
Fax(619) 222-0231
Organization SubpartNo
Authorized OfficialEli Ben MosheOptometrist · (619) 222-0559
Enumeration DateSeptember 25, 2019
Last NPPES UpdateOctober 18, 20192 updates tracked since enumeration
✔ NPI 1306497888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
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.
4822 NEWPORT AVE, San Diego, CA 92107
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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)

Newport Avenue Optometry Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Newport Avenue Optometry Inc., which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (7)

Michael Tran, OD
Optometry
NPI 1124555172
4822 NEWPORT AVE
San Diego, CA 92107
(619) 222-0559
✔ PECOS✔ Accepts MedicareSame address
Eli Ben Moshe, O.D.
Optometry
NPI 1134201726
4822 NEWPORT AVE
San Diego, CA 92107
(619) 222-0559
✔ PECOSSame address
Jared Hagan, O.D.
Optometry
NPI 1881929966
4822 NEWPORT AVE
San Diego, CA 92107
(509) 869-5926
✔ PECOS✔ Accepts MedicareSame address
Henry Lin, O.D.
Optometry
NPI 1861405664
3451 S DOGWOOD AVE STE. 1334
El Centro, CA 92243
(760) 336-3003
✔ PECOS✔ Accepts Medicare100 mi
Harrison Vanderlinde, OD
Optometry
NPI 1336798123
1618 E CALDWELL AVE
Visalia, CA 93292
(559) 737-9690
✔ PECOS✔ Accepts Medicare271 mi
Christopher Johnson, O.D.
Optometry
NPI 1568861425
1101 MADISON ST STE 600
Seattle, WA 98104
(206) 215-2020
✔ PECOS✔ Accepts Medicare1,060 mi
Nupur Kulkarni, OD
Optometry
NPI 1053178541
22410 SAM CREEK CT
Katy, TX 77494
(832) 444-4487
✔ PECOS✔ Accepts Medicare1,286 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 Newport Avenue Optometry Inc.'s NPI number?

The NPI number for Newport Avenue Optometry Inc. is 1306497888. It was assigned to this organization in the NPPES registry on September 25, 2019.

Where is Newport Avenue Optometry Inc. located?

Newport Avenue Optometry Inc. is located at 4822 Newport Ave, San Diego, CA 92107. The listed phone number is (619) 222-0559.

What is Newport Avenue Optometry Inc.'s specialty?

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

Is Newport Avenue Optometry Inc. enrolled in Medicare?

Yes. Newport Avenue Optometry Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Newport Avenue Optometry Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Optometry, reassign their Medicare billing to Newport Avenue Optometry 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, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Newport Avenue Optometry 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 Newport Avenue Optometry 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 Newport Avenue Optometry Inc. was last updated on October 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.