ALYSSA TERESA PACK (NPI# 1750991220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750991220 |
| Entity Type | Individual |
| Full Name | ALYSSA TERESA PACK |
| Practice Address |
890 Eastlake Pkwy Ste 102 Chula Vista CA 91914-4521 |
| Mailing Address |
1132 Mansiones Ln Chula Vista CA 91910-7914 |
| Practice Telephone | 6192163937 |
| Mailing Telephone | 6196327332 |
| Enumeration Date | 2020-08-08 |
| Last Update Date | 2020-08-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 34608 | CA | Eye and Vision Services Providers |
| Street Address |
890 EASTLAKE PKWY STE 102 |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91914-4521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699183673 | Charmine Trajano | Optometrist | 890 Eastlake Pkwy Ste 102, Chula Vista, CA 91914-4521 | 2014-07-23 |
| 1033721063 | Justin Tuan-anh Nguyen | Optometrist | 890 Eastlake Pkwy Ste 102, Chula Vista, CA 91914-4521 | 2020-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447785811 | Tania Marie Beaudoin | Social Worker | 2580 Catamaran Way Ste 103, Chula Vista, CA 91914 | 2017-04-24 |
| 1477090447 | Leaha Elrod | Speech-Language Pathologist | 2985 Stevenson Ranch Ct, Chula Vista, CA 91914 | 2017-01-27 |
| 1205382934 | Jessica Lexanne Morris | Occupational Therapy Assistant | 861 Harold Pl, Chula Vista, Chula Vista, CA 91914 | 2016-09-01 |
| 1821457169 | Eagles Wings Home Care Inc. | Clinic/Center | 2529 Saddlehorn Dr., Chula Vista, CA 91914 | 2016-02-15 |
| 1609217355 | Joanna Sarao Songcuan | Marriage & Family Therapist | 2400 Fenton St Ste 217, Chula Vista, CA 91914 | 2013-07-10 |
| 1891043477 | Deanna Risos Dmd,pc. | Dentist | 841 Kuhn Dr. Ste # 102, Chula Vista, CA 91914 | 2012-08-29 |
| 1417262718 | Lisa Alvarez | Nurse Practitioner | 891 Bryce Ave, Chula Vista, CA 91914 | 2010-08-11 |
| 1164669123 | Guadalupe Marquez | Dentist | 2452 Fenton St Ste 200, Chula Vista, CA 91914 | 2009-01-13 |
| 1750537379 | Christina Marie Morris | Registered Nurse | 595 Northbrook Ave., Chula Vista, CA 91914 | 2008-08-14 |
| 1114113008 | Adrian Avila | Marriage & Family Therapist | 2560 Catamaran Way, Chula Vista, CA 91914 | 2007-09-24 |
| Find all providers in zip 91914 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730676727 | Pei Chi Chain | Optometrist | 324 F Street., Chula Vista, CA 91910 | 2018-04-16 |
| 1184146094 | Alexandra Lynn Scovill | Optometrist | Castillejos Eye Institute Medical Group, 342 F Street, Chula Vista, CA 91910 | 2017-07-12 |
| 1942747548 | Daniel & Max, LLC | Optometrist | 1295 Broadway Ste 209-210, Chula Vista, CA 91911-2982 | 2017-01-21 |
| 1619379278 | Rachel Joslyn Lee | Optometrist | 1741 Eastlake Pkwy, Suite 101, Chula Vista, CA 91915-2032 | 2014-09-25 |
| 1699183673 | Charmine Trajano | Optometrist | 890 Eastlake Pkwy Ste 102, Chula Vista, CA 91914-4521 | 2014-07-23 |
| 1639467467 | Ethan S Diep | Optometrist | 878 Eastlake Pkwy Ste 1011, Chula Vista, CA 91914-4546 | 2011-07-14 |
| 1376793828 | Keddington & Kalra Optometrists Apc | Optometrist | 1741 Eastlake Pkwy Ste 101, Chula Vista, CA 91915-2032 | 2008-09-22 |
| 1275797888 | Jacqueline Martin Haro | Optometrist | 1829 Cabernet Dr, Chula Vista, CA 91913-1259 | 2008-07-12 |
| 1760657522 | Gendelman Optometry, Inc @ The Vision Store | Optometrist | 884 Eastlake Pkwy, Suite 1617, Chula Vista, CA 91914-4547 | 2008-04-23 |
| 1144409574 | Choice Vision Optometry, Inc | Optometrist | 2334 Proctor Valley Rd, 105, Chula Vista, CA 91914-6006 | 2007-11-01 |
| Find all providers in CHULA VISTA | ||||
| City | CHULA VISTA |
| Zip Code | 91914 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.