MANCILLA FAMILY EYECARE
NPI 1750169017
Optometrist in Imperial, CA

Q: What is R Alex Mancilla Od PC's NPI number?

The NPI number for R Alex Mancilla Od PC is 1750169017. It was assigned to this organization in the NPPES registry on September 18, 2023. The provider is doing business as Mancilla Family Eyecare.

Q: What is R Alex Mancilla Od PC's specialty?

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

Active since September 18, 2023

435 W ATEN RD STE 3, IMPERIAL, CA 92251(619) 370-7315 Get Directions Write a Review

NPPES record last updated: February 2, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Mancilla Family Eyecare NPPES

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

MANCILLA FAMILY EYECARE (NPI 1750169017) is a healthcare organization registered as an optometrist in Imperial, California and active in the NPI registry since September 2023. The organization lists Raul A Mancilla, President/doctor, as its authorized official.

NPPES Registry Identity

NPI1750169017

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameR ALEX MANCILLA OD PC

Location Address435 W ATEN RD STE 3Imperial, CA 92251-9819

Mailing Address435 W Aten Rd Ste 3Imperial, CA 92251-9819 · (619) 370-7315

Phone(619) 370-7315

Organization SubpartNo

Authorized OfficialRaul A MancillaPresident/doctor · (619) 370-7315

Enumeration DateSeptember 18, 2023

Last NPPES UpdateFebruary 2, 2024

NPPES CertifiedFebruary 2, 2024

✔ NPI 1750169017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

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.

435 W ATEN RD STE 3, Imperial, CA 92251

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Other Names 1

Doing Business AsMancilla Family Eyecare

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mancilla Family Eyecare is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mancilla Family Eyecare, which bills Medicare for the services this clinician delivers.

Clinician (1)

Raul Mancilla, O.D.

Optometry

NPI 1487706198

435 W ATEN RD STE 3
Imperial, CA 92251

(760) 284-1442

✔ PECOSSame address

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 R Alex Mancilla Od PC's NPI number?

The NPI number for R Alex Mancilla Od PC is 1750169017. It was assigned to this organization in the NPPES registry on September 18, 2023. The provider is doing business as Mancilla Family Eyecare.

Where is R Alex Mancilla Od PC located?

R Alex Mancilla Od PC is located at 435 W Aten Rd Ste 3, Imperial, CA 92251. The listed phone number is (619) 370-7315.

What is R Alex Mancilla Od PC's specialty?

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

Is R Alex Mancilla Od PC enrolled in Medicare?

Yes. R Alex Mancilla Od PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through R Alex Mancilla Od PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to R Alex Mancilla Od PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does R Alex Mancilla Od PC accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list R Alex Mancilla Od PC 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 R Alex Mancilla Od PC was last updated on February 2, 2024. 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.