17th Street Optometry APC
NPI 1891268678ActiveOrganization· Optometrist· Tustin, CA
Optometrist in Tustin, California, registered in NPPES in January 2019. The authorized official on file is Alexander Elson, OD, Optometrist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1891268678 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 4, 2019 |
| Last updated in NPPES | Jul 15, 2026 |
| Certified by provider | Jul 15, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
| Optometrist, Corneal and Contact Management | 152WC0802X | — | — |
| Optometrist, Pediatrics | 152WP0200X | — | — |
| Optometrist, Occupational Vision | 152WX0102X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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