TRACY STRADFORD OD
NPI 1336265560
Optometrist in San Diego, CA
About Tracy Stradford Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRACY STRADFORD OD (NPI 1336265560) is an individual optometrist in San Diego, California, licensed in California (OPT11328) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tracy Stradford Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Tracy Stradford reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92120
- Reassigned Medicare billing, California enrollment
- 13,921 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 92120 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92120
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 Tracy Stradford's NPI number?
The NPI number for Tracy Stradford is 1336265560. It was assigned to this individual provider in the NPPES registry on March 21, 2007.
Where is Tracy Stradford located?
Tracy Stradford practices at 4647 Zion Ave, San Diego, CA 92120. The listed phone number is (619) 528-5000.
What is Tracy Stradford's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Tracy Stradford enrolled in Medicare?
Yes. Tracy Stradford is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Tracy Stradford's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tracy Stradford reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, CA). The 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 Tracy Stradford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Tracy Stradford was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Tracy Stradford, OD · NPI 1336265560
Optometrist provider in San Diego, California. Individual provider, active in the CMS NPPES registry since March 21, 2007.
## Identity
- **NPI:** 1336265560 (Entity type: Individual)
- **Enumerated:** March 21, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** OPT11328 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4647 ZION AVE, San Diego, CA 92120-2507
- **Phone:** (619) 528-5000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1225060742, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 29, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1336265560) · Data from the CMS NPPES public registry.