1. Home
  2. Directory
  3. California
  4. Chula Vista
  5. Optometrist
  6. NPI Profile

ALYSSA TERESA PACK
NPI 1750991220
Optometrist in Chula Vista, CA

Active since August 08, 2020PECOS EnrolledAccepts Medicare Assignment
890 EASTLAKE PKWY STE 102, CHULA VISTA, CA 91914(619) 216-3937 Get Directions Write a Review

NPPES record last updated: August 8, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Alyssa Teresa Pack NPPES

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

ALYSSA TERESA PACK (NPI 1750991220) is an individual optometrist in Chula Vista, California, licensed in California (34608) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1750991220
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameALYSSA TERESA PACK
Location Address890 EASTLAKE PKWY STE 102Chula Vista, CA 91914-4521
Mailing Address1132 Mansiones LnChula Vista, CA 91910-7914 · (619) 632-7332
Phone(619) 216-3937
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 8, 2020
NPPES CertifiedAugust 8, 2020
✔ NPI 1750991220 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 · 34608
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.
890 EASTLAKE PKWY STE 102, Chula Vista, CA 91914
Open in Google Maps ↗

Accepted Insurance

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

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

Alyssa Teresa Pack 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 ID547680449
PECOS Enrollment IDI20201014003092
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91914 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

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

JUSTIN TUAN-ANH NGUYEN OD
Optometrist
890 EASTLAKE PKWY STE 102
CHULA VISTA, CA 91914
San Diego County (619) 216-3937

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 Alyssa Pack's NPI number?

The NPI number for Alyssa Pack is 1750991220. It was assigned to this individual provider in the NPPES registry on August 8, 2020.

Where is Alyssa Pack located?

Alyssa Pack practices at 890 Eastlake Pkwy Ste 102, Chula Vista, CA 91914. The listed phone number is (619) 216-3937.

What is Alyssa Pack's specialty?

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

Is Alyssa Pack enrolled in Medicare?

Yes. Alyssa Pack 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.

What insurance does Alyssa Pack accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Alyssa Pack 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 Alyssa Pack was last updated on August 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.