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DR. MARY DIANA VIVIRITO O.D.
NPI 1477968667
Optometrist in El Centro, CA

Active since June 25, 2014PECOS Enrolled
812 N IMPERIAL AVE, EL CENTRO, CA 92243(760) 352-7460(888) 210-5799 Get Directions Write a Review

NPPES record last updated: September 15, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 15, 2024, Oct 17, 2023, Dec 4, 2017 (3 updates tracked since 2017).

About Dr. Mary Diana Vivirito O.d. NPPES

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

DR. MARY DIANA VIVIRITO O.D. (NPI 1477968667) is an individual optometrist in El Centro, California, licensed in California (33798TLG) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in El Centro.

NPPES Registry Identity

NPI1477968667
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. MARY DIANA VIVIRITOCredential: O.D.
Location Address812 N IMPERIAL AVEEl Centro, CA 92243-1916
Mailing Address812 N Imperial AveEl Centro, CA 92243-1916 · (760) 352-7460 · Fax (888) 210-5799
Phone(760) 352-7460
Fax(888) 210-5799
Sole ProprietorNo
Enumeration DateJune 25, 2014
Last NPPES UpdateSeptember 15, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2024
✔ NPI 1477968667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in CA · 33798TLG✔ Licensed in CO · 0003100
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
812 N IMPERIAL AVE, El Centro, CA 92243
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Secondary Practice Location 1

Location 13451 S Dogwood Rd Ste 1334El Centro, CA 92243-9140 · Phone (760) 336-3003

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mary Diana Vivirito O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92243 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.04 typical visit price
range $58.90 – $176.72
Typical copayment $33.51 (range $14.72 – $44.18)
Most-billed visit code 99204
Established Patient
$73.20 typical visit price
range $19.28 – $144.68
Typical copayment $18.30 (range $4.82 – $36.17)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IMPERIAL VALLEY OPTOMETRIC CORPORATION
Optometrist
812 N IMPERIAL AVE
EL CENTRO, CA 92243
Imperial County (760) 352-7460

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 Mary Vivirito's NPI number?

The NPI number for Mary Vivirito is 1477968667. It was assigned to this individual provider in the NPPES registry on June 25, 2014.

Where is Mary Vivirito located?

Mary Vivirito practices at 812 N Imperial Ave, El Centro, CA 92243. The listed phone number is (760) 352-7460.

What is Mary Vivirito's specialty?

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

Is Mary Vivirito enrolled in Medicare?

Yes. Mary Vivirito is registered in the Medicare PECOS enrollment system.

What insurance does Mary Vivirito accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Mary Vivirito 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 Mary Vivirito was last updated on September 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.