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DR. TARA VACHARKULKSEMSUK O.D.
NPI 1588977938
Optometrist in Lake Elsinore, CA

Active since July 14, 2010PECOS EnrolledAccepts Medicare Assignment
32245 MISSION TRL STE D4, LAKE ELSINORE, CA 92530(951) 674-1561 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 30, 2021, Jul 31, 2019 (2 updates tracked since 2019).

About Dr. Tara Vacharkulksemsuk O.d. NPPES

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

DR. TARA VACHARKULKSEMSUK O.D. (NPI 1588977938) is an individual optometrist in Lake Elsinore, California, licensed in California (13949) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (2010).

NPPES Registry Identity

NPI1588977938
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. TARA VACHARKULKSEMSUKCredential: O.D.
Location Address32245 MISSION TRL STE D4Lake Elsinore, CA 92530-4528
Mailing Address32245 Mission Trl Ste D4Lake Elsinore, CA 92530-4528
Phone(951) 674-1561
Sole ProprietorNo
Medical School CMSSouthern California College Of OptometryGraduated 2010
Enumeration DateJuly 14, 2010
Last NPPES UpdateNovember 30, 20212 updates tracked since enumeration
✔ NPI 1588977938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CA · 13949
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.
32245 MISSION TRL STE D4, Lake Elsinore, CA 92530
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Other Identifiers 2

Medicaid112409104TX
Medicaid283028301TX

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Tara Vacharkulksemsuk O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729263629
PECOS Enrollment IDI20110419000351
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 92530 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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.

MICHELLE CRUZ O.D.
Optometrist
32245 MISSION TRL STE D4
LAKE ELSINORE, CA 92530
Riverside County (951) 674-1561

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 Tara Vacharkulksemsuk's NPI number?

The NPI number for Tara Vacharkulksemsuk is 1588977938. It was assigned to this individual provider in the NPPES registry on July 14, 2010.

Where is Tara Vacharkulksemsuk located?

Tara Vacharkulksemsuk practices at 32245 Mission Trl Ste D4, Lake Elsinore, CA 92530. The listed phone number is (951) 674-1561.

What is Tara Vacharkulksemsuk's specialty?

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

Is Tara Vacharkulksemsuk enrolled in Medicare?

Yes. Tara Vacharkulksemsuk is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Tara Vacharkulksemsuk was last updated on November 30, 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.