KRYSTAL TAN VANICHSARN O.D.
NPI 1962886283
Optometrist in Escondido, CA

Active since July 16, 2015PECOS EnrolledAccepts Medicare Assignment
73.62/100
CMS Quality Rating
700 W EL NORTE PKWY STE 200, ESCONDIDO, CA 92026(607) 435-8727(760) 743-5879 Get Directions Write a Review

NPPES record last updated: June 9, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 9, 2022, Sep 11, 2020 (2 updates tracked since 2020).

About Krystal Tan Vanichsarn O.d. NPPES

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

KRYSTAL TAN VANICHSARN O.D. (NPI 1962886283) is an individual optometrist in Escondido, California, licensed in California (15449) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1962886283
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameKRYSTAL TAN VANICHSARNCredential: O.D.
Location Address700 W EL NORTE PKWY STE 200Escondido, CA 92026-3923
Mailing Address12614 Crown Crest DrBakersfield, CA 93311-8567 · (408) 315-0505
Fax(760) 743-5879
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 16, 2015
Last NPPES UpdateJune 9, 20222 updates tracked since enumeration
NPPES CertifiedJune 9, 2022
✔ NPI 1962886283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in CA · 15449✔ Licensed in PA · OEG003091
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.
700 W EL NORTE PKWY STE 200, Escondido, CA 92026

Accepted 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

Krystal Tan Vanichsarn 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 ID5496035735
PECOS Enrollment IDI20161202002024
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

3

Medicare enrollment records show Krystal Vanichsarn reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
5651 COPLEY DR STE A
San Diego, CA 92111
  • Reassigned Medicare billing, California enrollment
  • 1,233 clinicians in this Medicare group
Optometrist
4649 PLANZ RD
Bakersfield, CA 93309
  • Reassigned Medicare billing, California enrollment
  • 7 clinicians in this Medicare group
Optometrist
11320 MING AVE, SUITE 360
Bakersfield, CA 93311
  • Reassigned Medicare billing, California enrollment
  • 4 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 6

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.

New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
41 services41 patients
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.
34 services32 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
23 services21 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
17 services17 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
17 services15 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92026 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.56
Improvement Activities40
Cost58.69

Other Providers at the Same Location NPPES 2

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

Optometrist
700 W EL NORTE PKWY STE 200
ESCONDIDO, CA 92026
Ophthalmology
700 W EL NORTE PKWY STE 200
ESCONDIDO, CA 92026

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 Krystal Vanichsarn's NPI number?

The NPI number for Krystal Vanichsarn is 1962886283. It was assigned to this individual provider in the NPPES registry on July 16, 2015.

Where is Krystal Vanichsarn located?

Krystal Vanichsarn practices at 700 W El Norte Pkwy Ste 200, Escondido, CA 92026. The listed phone number is (607) 435-8727.

What is Krystal Vanichsarn's specialty?

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

Is Krystal Vanichsarn enrolled in Medicare?

Yes. Krystal Vanichsarn 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 Krystal Vanichsarn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Krystal Vanichsarn reassigns Medicare benefits to 3 organizations: Sharp Rees-Stealy Medical Group, Inc (San Diego, CA), Southwest Eye Care Optometric Center, Inc (Bakersfield, CA) and Bakersfield Optometric Group (Bakersfield, 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 Krystal Vanichsarn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Krystal Vanichsarn accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Krystal Vanichsarn 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 Krystal Vanichsarn was last updated on June 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.