17th Street Optometry Apc - Medicare Optometrist in Tustin, CA

17th Street Optometry Apc is a medicare enrolled "Optometrist" provider in Tustin, California. Their current practice location is 17300 17th St Ste M, Tustin, California. You can reach out to their office (for appointments etc.) via phone at (714) 838-9664.

17th Street Optometry Apc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. 17th Street Optometry Apc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1891268678.

Contact Information

17th Street Optometry Apc
17300 17th St Ste M,
Tustin, CA 92780-1955
(714) 838-9664
(714) 838-6774

Map and Direction




Healthcare Provider's Profile

Full Name17th Street Optometry Apc
TypeFacility
SpecialityOptometrist
Location17300 17th St Ste M, Tustin, California
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1891268678
  • Provider Enumeration Date: 01/04/2019
  • Last Update Date: 01/04/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5395087100
  • Enrollment ID: O20190426001423

Medical Identifiers

Medical identifiers for 17th Street Optometry Apc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891268678NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist (* (Not Available))Primary
152WC0802XOptometrist - Corneal And Contact Management (* (Not Available))Secondary
152WP0200XOptometrist - Pediatrics (* (Not Available))Secondary
152WX0102XOptometrist - Occupational Vision (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. 17th Street Optometry Apc acts as a billing entity for following providers:
Provider NameKaren T Wakayama
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1295775047
PECOS PAC ID: 7214928787
Enrollment ID: I20040521001385
Provider NameCynthia K. Broady
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1154452118
PECOS PAC ID: 9133267172
Enrollment ID: I20091111000300
Provider NameAlexander Tyler Elson
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1073962163
PECOS PAC ID: 5597052779
Enrollment ID: I20161003001880

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. 17th Street Optometry Apc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
17th Street Optometry Apc
17300 17th St Ste M,
Tustin, CA 92780-1955

Ph: (714) 838-9664
17th Street Optometry Apc
17300 17th St Ste M,
Tustin, CA 92780-1955

Ph: (714) 838-9664

Reviews and Comments


Optometrist in Tustin, CA

Dr. Lori Shim Yoo, OD
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 2831 Park Ave, Tustin, CA 92782
Phone: 714-258-7525    Fax: 714-258-8489
Natasha Mitchell, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 2521 Michelle Dr, Tustin, CA 92780
Phone: 833-574-2273    
Dr. Brett Patrick Bowman, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 1101 Bryan Ave, Ste. A-1, Tustin, CA 92780
Phone: 714-544-4810    Fax: 714-368-9154
Dr. Darren M Brown, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 190 El Camino Real, Tustin, CA 92780
Phone: 714-669-1121    Fax: 714-669-9786
Dr. William B Stanford, O.D.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 190 El Camino Real, Tustin, CA 92780
Phone: 714-669-1121    Fax: 714-669-9786
Dr. Alexander Tyler Elson, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 17300 17th St, #m, Tustin, CA 92780
Phone: 714-838-9664    
Dr. Kelly Hien Tran, O.D
Optometrist
Medicare: Medicare Enrolled
Practice Location: 2923 El Camino Real, Tustin, CA 92782
Phone: 714-731-0215    Fax: 714-731-2858

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.