SKI RUN OPTOMETRY BY DR. LONDON, PC
NPI 1558957589
Optometrist in S Lake Tahoe, CA

Q: What is Ski Run Optometry By Dr. London, PC's NPI number?

The NPI number for Ski Run Optometry By Dr. London, PC is 1558957589. It was assigned to this organization in the NPPES registry on December 14, 2020.

Q: What is Ski Run Optometry By Dr. London, PC's specialty?

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

Active since December 14, 2020

3637 LARCH AVE STE 2, S LAKE TAHOE, CA 96150(530) 544-3403(530) 544-4032 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 7, 2026, Dec 14, 2020 (2 updates tracked since 2020).

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About Ski Run Optometry By Dr. London, Pc NPPES

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

SKI RUN OPTOMETRY BY DR. LONDON, PC (NPI 1558957589) is a healthcare organization registered as an optometrist in S Lake Tahoe, California and active in the NPI registry since December 2020. The organization lists Kellie London, Optometrist And Owner, as its authorized official.

NPPES Registry Identity

NPI1558957589

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameSKI RUN OPTOMETRY BY DR. LONDON, PC

Location Address3637 LARCH AVE STE 2S Lake Tahoe, CA 96150-8478

Mailing Address3637 Larch Ave Ste 2S Lake Tahoe, CA 96150-8478 · (530) 544-3403 · Fax (530) 544-4032

Phone(530) 544-3403

Fax(530) 544-4032

Organization SubpartNo

Authorized OfficialKellie LondonOptometrist And Owner · (530) 544-3403

Enumeration DateDecember 14, 2020

Last NPPES UpdateApril 7, 20262 updates tracked since enumeration

NPPES CertifiedApril 7, 2026

✔ NPI 1558957589 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.

3637 LARCH AVE STE 2, S Lake Tahoe, CA 96150

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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ski Run Optometry By Dr. London, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Ski Run Optometry By Dr. London, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kellie London

Optometry

NPI 1134710932

3637 LARCH AVE
South Lake Tahoe, CA 96150

(530) 544-3403

✔ PECOS✔ Accepts MedicareSame address

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 Ski Run Optometry By Dr. London, PC's NPI number?

The NPI number for Ski Run Optometry By Dr. London, PC is 1558957589. It was assigned to this organization in the NPPES registry on December 14, 2020.

Where is Ski Run Optometry By Dr. London, PC located?

Ski Run Optometry By Dr. London, PC is located at 3637 Larch Ave Ste 2, S Lake Tahoe, CA 96150. The listed phone number is (530) 544-3403.

What is Ski Run Optometry By Dr. London, PC's specialty?

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

Is Ski Run Optometry By Dr. London, PC enrolled in Medicare?

Yes. Ski Run Optometry By Dr. London, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ski Run Optometry By Dr. London, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Ski Run Optometry By Dr. London, PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ski Run Optometry By Dr. London, PC was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.