IMPERIAL VALLEY OPTOMETRIC CORPORATION
NPI 1477372605
Optometrist in San Diego, CA
About Imperial Valley Optometric Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IMPERIAL VALLEY OPTOMETRIC CORPORATION (NPI 1477372605), doing business as Sunglass And Optical Warehouse, is a healthcare organization registered as an optometrist in San Diego, California and active in the NPI registry since October 2024. The organization lists Kristen Young, Practice Relations Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted 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)
Imperial Valley Optometric Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
23Medicare enrollment records show 23 clinicians reassign Medicare billing to Imperial Valley Optometric Corporation, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Nearest to this location (20)
See all 23Source: 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 Imperial Valley Optometric Corporation's NPI number?
The NPI number for Imperial Valley Optometric Corporation is 1477372605. It was assigned to this organization in the NPPES registry on October 4, 2024. The provider is doing business as Sunglass and Optical Warehouse.
Where is Imperial Valley Optometric Corporation located?
Imperial Valley Optometric Corporation is located at 3450 Kurtz St Ste D, San Diego, CA 92110. The listed phone number is (619) 291-4810.
What is Imperial Valley Optometric Corporation's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Imperial Valley Optometric Corporation enrolled in Medicare?
Yes. Imperial Valley Optometric Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Imperial Valley Optometric Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 23 clinicians, all in Optometry, reassign their Medicare billing to Imperial Valley Optometric Corporation. 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Imperial Valley Optometric Corporation accept?
Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Imperial Valley Optometric Corporation 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 Imperial Valley Optometric Corporation was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.
# Imperial Valley Optometric Corporation · NPI 1477372605
Optometrist organization in San Diego, California. Organization record, active in the CMS NPPES registry since October 4, 2024.
## Identity
- **NPI:** 1477372605 (Entity type: Organization)
- **Enumerated:** October 4, 2024
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Also known as:** Sunglass and Optical Warehouse (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Kristen Young, PRACTICE RELATIONS MANAGER
## Practice location
- **Address:** 3450 KURTZ ST STE D, San Diego, CA 92110-4451
- **Phone:** (619) 291-4810
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 23 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 3 practice within 10 miles; [full list](https://npiprofile.com/npi/1477372605/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1477372605) · Data from the CMS NPPES public registry.