ALVARADO EYE ASSOCIATES MED CLINIC INC
NPI 1619973591
Clinic/Center - Multi-Specialty in La Mesa, CA

Q: What is Alvarado Eye Associates Med Clinic Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Active since June 24, 2005CLIA 05D2275273 · Waiver

7877 PARKWAY DR., SUITE# 100, LA MESA, CA 91942(619) 460-3711(619) 460-2184 Get Directions Write a Review

NPPES record last updated: August 21, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 21, 2023, Jan 9, 2019 (2 updates tracked since 2019).

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About Alvarado Eye Associates Med Clinic Inc NPPES

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

ALVARADO EYE ASSOCIATES MED CLINIC INC (NPI 1619973591), doing business as Alvarado Eye Associates Medical Clinic Inc, is a healthcare organization registered as a multi-specialty in La Mesa, California and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through January 17, 2027, maintains a secondary practice location in Coronado, and lists Glen Cook, Owner, as its authorized official.

NPPES Registry Identity

NPI1619973591

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameALVARADO EYE ASSOCIATES MED CLINIC INC

Location Address7877 PARKWAY DR., SUITE# 100La Mesa, CA 91942-2000

Mailing Address75 Enterprise Ste 200Aliso Viejo, CA 92656-2626 · (949) 688-6205 · Fax (619) 460-2184

Phone(619) 460-3711

Fax(619) 460-2184

Organization SubpartNo

Authorized OfficialGlen CookOwner · (619) 460-3711

Enumeration DateJune 24, 2005

Last NPPES UpdateAugust 21, 20232 updates tracked since enumeration

NPPES CertifiedAugust 21, 2023

✔ NPI 1619973591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

Also ListedOptometristTaxonomy 152W00000X

Also ListedOphthalmologyTaxonomy 207W00000X

7877 PARKWAY DR., La Mesa, CA 91942

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Other Names 1

Former Legal Business NameAlvarado Eye Associates Medical Clinic Inc

Secondary Practice Location 1

Location 1801 Orange Ave Ste 204Coronado, CA 92118-2663 · Phone (619) 460-3711 · Fax (619) 522-7983

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2275273

Alvarado Eye Associates, Inc · La Mesa, CA

Active · expires Jan 17, 2027

CLIA Number05D2275273

Laboratory TypePhysician Office

Certificate Effective DateJanuary 18, 2025

Certificate Expiration DateJanuary 17, 2027

Laboratory DirectorLee Katzman

Laboratory Phone(619) 460-3711

Laboratory LocationAlvarado Eye Associates, Inc7877 Parkway Dr Ste 100, La Mesa, CA 91942

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Alvarado Eye Associates carries, from the Medicare DMEPOS supplier directory.

Alvarado Eye Associates

DMEPOS supplier · La Mesa, CAOperated by Alvarado Eye Associates Med Clinic Inc

✔

Accepts Medicare assignment

Alvarado Eye Associates agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20678363

Medicare Participant SinceOctober 1, 1984

Supplier Location7877 Parkway Dr Ste 100La Mesa, CA 91942

Phone(619) 460-3711

Provider TypePhysician – Ophthalmology

Supplier Specialties

Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses

Conventional Eyeglasses

Prosthetic Lenses: Conventional Contact Lenses

Conventional Contact Lenses

Prosthetic Lenses: Prosthetics Cataract Lenses

Cataract Eyeglasses

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Alvarado Eye Associates Med Clinic Inc's NPI number?

The NPI number for Alvarado Eye Associates Med Clinic Inc is 1619973591. It was assigned to this organization in the NPPES registry on June 24, 2005. The provider was formerly known as Alvarado Eye Associates Medical Clinic Inc.

Where is Alvarado Eye Associates Med Clinic Inc located?

Alvarado Eye Associates Med Clinic Inc is located at 7877 Parkway Dr. Suite# 100, La Mesa, CA 91942. The listed phone number is (619) 460-3711.

What is Alvarado Eye Associates Med Clinic Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Alvarado Eye Associates Med Clinic Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Alvarado Eye Associates accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Alvarado Eye Associates Med Clinic Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2275273) is associated with this NPI, valid through January 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Alvarado Eye Associates Med Clinic Inc was last updated on August 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.