Imperial Beach Optometric Corporation
NPI 1790249563ActiveOrganization· Optometrist· El Centro, CA
Optometrist in El Centro, California, registered in NPPES in January 2019. The authorized official on file is May Tam, OD, Iboc Vice President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1790249563 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 25, 2019 |
| Last updated in NPPES | Oct 7, 2026 |
| Certified by provider | Oct 7, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
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 Part B Supplier - Clinic/Group Practice (CA) |
|---|
Other optometrists in El Centro
- 1124012745
- 1659065001
- 1821001645
- 1861405664
- 1689406068
- 1689455057
- 1093038168
- 1316950207
- 1477444156
- 1477968667
- 1497032783
- 1497956585
All 21 optometrists in El Centro · All optometrists in California