17TH STREET OPTOMETRY APC
NPI 1891268678
Optometrist in Tustin, CA
About 17th Street Optometry Apc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
17TH STREET OPTOMETRY APC (NPI 1891268678) is a healthcare organization registered as an optometrist in Tustin, California and active in the NPI registry since January 2019. The organization lists Alexander Elson, Optometrist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Group Practice 1
Accepted 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)
17th Street Optometry Apc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to 17th Street Optometry Apc, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 17th Street Optometry Apc's NPI number?
The NPI number for 17th Street Optometry Apc is 1891268678. It was assigned to this organization in the NPPES registry on January 4, 2019.
Where is 17th Street Optometry Apc located?
17th Street Optometry Apc is located at 17400 Irvine Blvd Ste N, Tustin, CA 92780. The listed phone number is (714) 838-9664.
What is 17th Street Optometry Apc's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is 17th Street Optometry Apc enrolled in Medicare?
Yes. 17th Street Optometry Apc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through 17th Street Optometry Apc?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to 17th Street Optometry Apc. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does 17th Street Optometry Apc accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list 17th Street Optometry Apc 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 17th Street Optometry Apc was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# 17th Street Optometry Apc · NPI 1891268678
Optometrist organization in Tustin, California. Organization record, active in the CMS NPPES registry since January 4, 2019.
## Identity
- **NPI:** 1891268678 (Entity type: Organization)
- **Enumerated:** January 4, 2019
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Alexander Elson, OPTOMETRIST
## Practice location
- **Address:** 17400 IRVINE BLVD STE N, Tustin, CA 92780-3030
- **Phone:** (714) 838-9664 · **Fax:** (714) 838-6774
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 15, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1891268678) · Data from the CMS NPPES public registry.