✓ Licensed & Credentialed Eye and Vision Service Providers — Optometrist (152W00000X) ✓ HHS OIG Screened Clear ✓ Medicare PECOS Enrolled 🩺 Entity Type 1 (Individual)

SOFIA ALFARO, OD (NPI #1023943487)

Optometrist • ENCINITAS, CA • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1023943487
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
152W00000X (CMS 41)
Licensed & Credentialed Eye and Vision Service Providers — Optometrist
Box 32 Service Location & ZIP+4
1010 N EL CAMINO REAL, ENCINITAS, CA, 92024-1320
✓ 9-Digit EDI 837 ZIP+4 (92024-1320)
Practice Phone & Referral Fax
Direct NPPES Verification Line
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1023943487 (SOFIA ALFARO, OD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
No
Hospice Referring
✓ Eligible

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1023943487 (NPI-1 Individual Practitioner)
Provider / Legal NameSOFIA ALFARO, OD
Plain-English SpecialtyLicensed & Credentialed Eye and Vision Service Providers — Optometrist
NUCC Code: 152W00000X (Optometrist)
Certifying / Licensing BodyState Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address1010 N EL CAMINO REAL, ENCINITAS, CA, 92024-1320
Practice Telephone / FaxTel: (760) 704-0293
Administrative Mailing Address27662 ALISO CREEK RD APT 10310, ALISO VIEJO, CA, 92656-5818
Enumeration & Last SyncEnumerated: 2026-06-16 | CMS Record Updated: 2026-06-16

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1010 N EL CAMINO REAL, ENCINITAS, CA, 92024-1320

🗺️ Open in Google Maps 🏥 More Providers in ENCINITAS

Plain-English Taxonomy & CMS Crosswalk (152W00000X)

What Does Taxonomy Code 152W00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 152W00000X translates to:
"Licensed & Credentialed Eye and Vision Service Providers — Optometrist"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 41 (Optometry)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Optometrist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (SOFIA ALFARO, OD)

Typical CPT / Diagnostic Procedures:
  • Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
  • Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
  • Preventive Screening, Patient Counseling & Multidisciplinary Referral
Common Therapeutic Classes:
  • Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
152W00000X — Optometrist
Plain English: Licensed & Credentialed Eye and Vision Service Providers — Optometrist
State: CA | License: OPT36291-TLG | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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