Alvarado Eye Associates Med Clinic Inc
NPI 1619973591ActiveOrganization· Clinic/Center, Multi-Specialty· La Mesa, CA
Clinic/Center, Multi-Specialty in La Mesa, California, registered in NPPES in June 2005. The authorized official on file is Glen Cook, MD, Owner. Enrolled in Medicare as dme supplier - physician - ophthalmology and part b supplier - clinic/group practice.
Overview
| NPI | 1619973591 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 24, 2005 |
| Last updated in NPPES | Aug 21, 2023 |
| Certified by provider | Aug 21, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center, Multi-Specialty Primary | 261QM1300X | — | — |
| Optometrist | 152W00000X | — | — |
| Ophthalmology | 207W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Ophthalmology (CA); Part B Supplier - Clinic/Group Practice (CA) |
|---|
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