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

Krystal Tan Vanichsarn, OD

Individual provider Optometrist · NPI 1962886283

Krystal Tan Vanichsarn, OD is an Optometry in Escondido, California. Qualified in 2015, 11 years ago. Practices with Sharp Rees-Stealy Medical Group Inc, a 874-clinician group and accepts Medicare assignment. Licensed in California and Pennsylvania.

Years since qualifying
11
Licensed in
CA, PA
In the registry since
2015
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

700 W El Norte Pkwy Ste 200
Escondido, CA 92026-3923
Phone: (607) 435-8727
Fax: (760) 743-5879
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 15449 (CA)
Optometrist Taxonomy 152W00000X · Licence OEG003091 (PA)

Record details

NPI number1962886283
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 16, 2015
Last updated in NPPESJune 9, 2022
Certification dateJune 9, 2022

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Sharp Rees-Stealy Medical Group Inc — 874 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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