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

Dr. Queen Lucky Thach, OD

Individual provider Optometrist · NPI 1053841478

Dr. Queen Lucky Thach, OD is an Optometry in El Cajon, California. Graduated from Nova Southeastern Univ College of Dental Medicine in 2017, 9 years ago. Practices with Total Vision PC, a 111-clinician group and accepts Medicare assignment. Licensed in California and New York.

Years since qualifying
9
Trained at
Nova Southeastern Univ College of Dental Medicine
Licensed in
CA, NY
In the registry since
2017
Specialties on file
2
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

2907 Jamacha Rd Ste A
El Cajon, CA 92019-4342
Phone: (619) 660-0272
Fax: (619) 660-0310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPT33685-TLG (CA)
Optometrist Taxonomy 152W00000X · Licence TUV009101-01 (NY)

Record details

NPI number1053841478
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 18, 2017
Last updated in NPPESApril 15, 2021
Certification dateMarch 25, 2021

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolNOVA SOUTHEASTERN UNIV COLLEGE OF DENTAL MEDICINE
Graduated 2017 (9 years in practice)
Group practice Total Vision Pc — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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