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EYE SPECIALTIES MEDICAL GROUP INC.
NPI 1568030260
Ophthalmology in Castro Valley, CA

Active since June 17, 2021
20046 LAKE CHABOT RD, CASTRO VALLEY, CA 94546(510) 881-8823(510) 881-2134 Get Directions Write a Review

NPPES record last updated: October 8, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 8, 2021, Jul 29, 2021, Jun 17, 2021 (3 updates tracked since 2021).

About Eye Specialties Medical Group Inc. NPPES

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

EYE SPECIALTIES MEDICAL GROUP INC. (NPI 1568030260) is a healthcare organization registered as an ophthalmology in Castro Valley, California and active in the NPI registry since June 2021. The organization lists Deborah H Tafoya, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1568030260
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameEYE SPECIALTIES MEDICAL GROUP INC.
Location Address20046 LAKE CHABOT RDCastro Valley, CA 94546-5304
Mailing Address20046 Lake Chabot RdCastro Valley, CA 94546-5304 · (510) 881-8823 · Fax (510) 881-2134
Phone(510) 881-8823
Fax(510) 881-2134
Organization SubpartNo
Authorized OfficialDeborah H TafoyaPractice Administrator · (510) 881-8823
Enumeration DateJune 17, 2021
Last NPPES UpdateOctober 8, 20213 updates tracked since enumeration
NPPES CertifiedOctober 8, 2021
✔ NPI 1568030260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
20046 LAKE CHABOT RD, Castro Valley, CA 94546
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Other Names 1

Doing Business AsEye Specialties Medical Group Inc.

Other Identifiers 1

Medicaid1007110001CA

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)

Eye Specialties Medical Group Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Eye Specialties Medical Group Inc., which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Preema Buch, MD
Ophthalmology
NPI 1366852865
20046 LAKE CHABOT RD
Castro Valley, CA 94546
(510) 881-8823
✔ PECOS✔ Accepts MedicareSame address
Robert Edelman, M.D.
Ophthalmology
NPI 1184832313
20046 LAKE CHABOT RD
Castro Valley, CA 94546
(510) 881-8823
✔ PECOS✔ Accepts MedicareSame address
Neha Shah, M.D.
Ophthalmology
NPI 1376733402
20046 LAKE CHABOT RD
Castro Valley, CA 94546
(510) 881-8823
✔ PECOSSame address
Nisreen Kothari, MD
Ophthalmology
NPI 1730445644
15051 HESPERIAN BLVD STE A
San Leandro, CA 94578
(510) 276-1212
✔ PECOS✔ Accepts Medicare2.4 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 Eye Specialties Medical Group Inc.'s NPI number?

The NPI number for Eye Specialties Medical Group Inc. is 1568030260. It was assigned to this organization in the NPPES registry on June 17, 2021.

Where is Eye Specialties Medical Group Inc. located?

Eye Specialties Medical Group Inc. is located at 20046 Lake Chabot Rd, Castro Valley, CA 94546. The listed phone number is (510) 881-8823.

What is Eye Specialties Medical Group Inc.'s specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Eye Specialties Medical Group Inc. enrolled in Medicare?

Yes. Eye Specialties Medical Group Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eye Specialties Medical Group Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Ophthalmology, reassign their Medicare billing to Eye Specialties Medical Group 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 and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Eye Specialties Medical Group Inc. was last updated on October 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.