DR. ANITA KOO O.D.
NPI 1669825667
Optometrist in National City, CA

Q: What is Anita Koo's NPI number?

The NPI number for Anita Koo is 1669825667. It was assigned to this individual provider in the NPPES registry on July 14, 2016.

Q: What is Anita Koo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Anita Koo was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since July 14, 2016PECOS EnrolledAccepts Medicare Assignment

1520 E PLAZA BLVD, NATIONAL CITY, CA 91950(619) 425-7755(619) 425-2138 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 15, 2025, May 16, 2025, Jul 14, 2016 (3 updates tracked since 2016).

On this page

About Dr. Anita Koo O.d. NPPES

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

DR. ANITA KOO O.D. (NPI 1669825667) is an individual optometrist in National City, California, licensed in California (33430) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (2016).

NPPES Registry Identity

NPI1669825667

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. ANITA KOOCredential: O.D.

Location Address1520 E PLAZA BLVDNational City, CA 91950-3616

Mailing Address555 Biernacki CtChula Vista, CA 91911-6702

Phone(619) 425-7755

Fax(619) 425-2138

Sole ProprietorNo

Medical School CMSSouthern California College Of OptometryGraduated 2016

Enumeration DateJuly 14, 2016

Last NPPES UpdateAugust 15, 20253 updates tracked since enumeration

NPPES CertifiedAugust 15, 2025

✔ NPI 1669825667 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 · 33430

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.

1520 E PLAZA BLVD, National City, CA 91950

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Anita Koo 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 ID7416318803

PECOS Enrollment IDI20230801004568, I20241204001765

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.

Medicare Billing Reassignments

Medicare enrollment records show Anita Koo reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Centro De Salud De La Comunidad De San Ysidro, Inc.

0.5 mi

Federally Qualified Health Center (FQHC)

1136 D AVENUE
National City, CA 91950

Reassigned Medicare billing, California enrollment
577 clinicians in this Medicare group

NPI 1003869363 (619) 336-2300

Eye Physicians Medical Surgical Center

3.4 mi

Eyewear Supplier

681 THIRD AVENUE
Chula Vista, CA 91910

Reassigned Medicare billing, California enrollment
14 clinicians in this Medicare group

NPI 1538135694 (619) 420-2111

California Retina Associates, LP

3.8 mi

Ophthalmology

835 3RD AVE, SUITE A
Chula Vista, CA 91911

Reassigned Medicare billing, California enrollment
25 clinicians in this Medicare group

NPI 1114033404 (619) 425-7755

Southern Indian Health Council

24 mi

Clinic/Center

4058 WILLOWS RD
Alpine, CA 91901

Reassigned Medicare billing, Texas enrollment
33 clinicians in this Medicare group

NPI 1346247947 (619) 445-1188

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91950 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.

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 Anita Koo's NPI number?

The NPI number for Anita Koo is 1669825667. It was assigned to this individual provider in the NPPES registry on July 14, 2016.

Where is Anita Koo located?

Anita Koo practices at 1520 E Plaza Blvd, National City, CA 91950. The listed phone number is (619) 425-7755.

What is Anita Koo's specialty?

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

Is Anita Koo enrolled in Medicare?

Yes. Anita Koo 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.

Which organizations bill Medicare for Anita Koo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anita Koo reassigns Medicare benefits to 4 organizations: Centro De Salud De La Comunidad De San Ysidro, Inc. (National City, CA), Eye Physicians Medical Surgical Center (Chula Vista, CA), California Retina Associates, LP (Chula Vista, CA) and Southern Indian Health Council (Alpine, CA). Each 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 Anita Koo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anita Koo accept?

Health plans from Providence Health Plan list Anita Koo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Anita Koo was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.