DR. ALEXANDRA LYNN SCOVILL (NPI# 1184146094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184146094 |
| Entity Type | Individual |
| Full Name | DR. ALEXANDRA LYNN SCOVILL |
| Credential | OD |
| Practice Address |
Castillejos Eye Institute Medical Group 342 F Street Chula Vista CA 91910 |
| Mailing Address |
Castillejos Eye Institute Medical Group 342 F Street Chula Vista CA 91910-2625 |
| Practice Telephone | 6194221471 |
| Practice Fax Number | 6194220114 |
| Mailing Telephone | 6194221471 |
| Mailing Fax Number | 6194220114 |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2018-12-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPT33711-TLG | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | OPTOMETRY LICENSE | OPT33711-TLG | 01 |
| Street Address |
CASTILLEJOS EYE INSTITUTE MEDICAL GROUP 342 F STREET |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477194264 | Joshua Maurice Hayden | Dental Hygienist | 678 Thrid Ave, Chula Vista, CA 91910 | 2019-10-02 |
| 1255980504 | Samantha Bernaldo | Dental Hygienist | 668 Third Ave, Chula Vista, CA 91910 | 2019-09-10 |
| 1073179529 | Roshni Kakaiya | Student in an Organized Health Care Education/Training Program | 435 H Street, Cv112, Chula Vista, CA 91910 | 2019-05-09 |
| 1598232506 | Naria Le Mire | Dietitian, Registered | 288 Broadway #141a, Chula Vista, CA 91910 | 2018-10-28 |
| 1730676727 | Pei Chi Chain | Optometrist | 324 F Street., Chula Vista, CA 91910 | 2018-04-16 |
| 1104332741 | Teodoro David Pena | Dentist | 510 Broadway Ste 4-5, Chula Vista, CA 91910 | 2017-12-19 |
| 1538684865 | Camille Cooke | Counselor | 430 F. Street, Chula Vista, CA 91910 | 2017-08-08 |
| 1396270583 | Tam Trieu | Pharmacist | 555 Broaway Suite 1054, Chula Vista, CA 91910 | 2017-04-25 |
| 1548792815 | Sabrina Owens | Family Medicine | 499 H Street Cv112, Chula Vista, CA 91910 | 2017-03-28 |
| 1568908820 | Sharon Finley | Assistant Behavior Analyst | 780 Bay Bl, Chula Vista, CA 91910 | 2017-01-11 |
| Find all providers in zip 91910 | ||||
| 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 |
| 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 |
| 1588858062 | Sherry Denise Deaner-harrington | Optometrist | 480 4th Ave Ste 412, Chula Vista, CA 91910-4413 | 2007-08-28 |
| Find all providers in CHULA VISTA | ||||
| City | CHULA VISTA |
| Zip Code | 91910 |
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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.