Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Anita Koo, OD

Individual provider Optometrist · NPI 1669825667

Dr. Anita Koo, OD is an Optometry in National City, California. Graduated from Southern California College of Optometry in 2016, 10 years ago. Practices with Centro De Salud De La Comunidad De San Ysidro, Inc, a 291-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
10
Trained at
Southern California College of Optometry
Licensed in
CA
In the registry since
2016
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

1520 E Plaza Blvd
National City, CA 91950-3616
Phone: (619) 425-7755
Fax: (619) 425-2138
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 33430 (CA)

Record details

NPI number1669825667
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 14, 2016
Last updated in NPPESAugust 15, 2025
Certification dateAugust 15, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduated 2016 (10 years in practice)
Group practice Centro De Salud De La Comunidad De San Ysidro,Inc. — 291 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

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