MARK SOONTORNVACHRIN
NPI 1609987585
Ophthalmology in Vista, CA

Q: What is Mark Soontornvachrin's NPI number?

The NPI number for Mark Soontornvachrin is 1609987585. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Q: What is Mark Soontornvachrin's specialty?

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

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment

780 SHADOWRIDGE DR, VISTA, CA 92083(844) 424-1867 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 30, 2021, Mar 25, 2016 (2 updates tracked since 2016).

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About Mark Soontornvachrin NPPES

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

MARK SOONTORNVACHRIN (NPI 1609987585) is an individual ophthalmology provider in Vista, California, licensed in California (A112148) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1609987585

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameMARK SOONTORNVACHRIN

Location Address780 SHADOWRIDGE DRVista, CA 92083-7986

Mailing Address780 Shadowridge DrVista, CA 92083-7986

Phone(844) 424-1867

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateAugust 31, 2006

Last NPPES UpdateNovember 30, 20212 updates tracked since enumeration

✔ NPI 1609987585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in CA · A112148

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.

780 SHADOWRIDGE DR, Vista, CA 92083

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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

Mark Soontornvachrin 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 ID8325190432

PECOS Enrollment IDI20110728000441

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 92083 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

$140.22 typical visit price

range $62.10 – $184.71

Typical copayment $35.05 (range $15.52 – $46.17)

Most-billed visit code 99204

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

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 20

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

DONNA CHRISTINE GRAY LCSW

Social Worker (Clinical)