STANLEY ROY PLUCINIK (OD) – Optometrist, NPI 1124751417

STANLEY ROY PLUCINIK (OD) is a healthcare provider. based in San diego, California. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 35255 (CA). The NPI Number for STANLEY ROY PLUCINIK (OD) is 1124751417

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
STANLEY ROY PLUCINIK (OD)
NPI
1124751417
Phone
(858) 552-8585
Address
3350 LA JOLLA VILLAGE DR # 112G
Enumeration Date
5 July 2022
Last Update Date
7 May 2024

Doctor Profile

Medical School Name
SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Secondary Phone
6195285000
Graduation Year
2022 (4 years ago)
PAC ID
4284094558
Group Practice PAC ID
6002729175
Professional Enrollment ID
I20230718002675
Address ID
CA921202507SA4647XAVEX300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness85
Years active:3State licenses:1Other namesUpdated within 12 months

3,909 OPTOMETRY in CA

Provider Addresses for STANLEY ROY PLUCINIK (OD)

  • 3350 LA JOLLA VILLAGE DR # 112G

    SAN DIEGO, CA 921610002

    Phone: (858) 552-8585

    Fax: (760) 643-4550

    Type: Mailing

  • 305 S SIERRA AVE APT 3

    SOLANA BEACH, CA 920752227

    Phone: (818) 451-6765

    Fax: (619) 422-0114

    Type: Mailing

  • 342 F ST

    CHULA VISTA, CA 919102625

    Phone: (619) 422-1471

    Fax: (619) 422-0114

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $50.

Total Amount is formed as General ($50) + Research ($0) + Ownership ($0) = $50.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($50).

Total Amount

$50

General + Research + Ownership

Payments

2

Total payment records

General Amount

$50

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$50
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-07-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230718002675IOptometryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92161)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002729175View full group profile
NameSpecialtyState
U R O L O G YOH
Nurse PractitionerCA
Internal MedicineCA
Internal MedicineCA
Internal Medicine, GastroenterologyCA
Physician AssistantCA
Emergency MedicineNC
O P H T H A L M O L O G YCA
Anesthesiology, Pain ManagementNH
Family Practice, Sports MedicineCA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do payers reference STANLEY ROY PLUCINIK (OD)?
For STANLEY ROY PLUCINIK (OD), use NPI 1124751417 as the unique 10-digit identifier.
Is STANLEY ROY PLUCINIK (OD) still an active registrant?
STANLEY ROY PLUCINIK (OD) carries an active NPI according to the public dataset.
What clinical focus is listed for STANLEY ROY PLUCINIK (OD)?
At a glance, STANLEY ROY PLUCINIK (OD) is tied to Optometrist. Clinical services aligned with this taxonomy classification.
Where in California is STANLEY ROY PLUCINIK (OD) registered?
Use San Diego, California as the headline location for STANLEY ROY PLUCINIK (OD) here.
What does 4 location(s) imply?
4 practice locations appear in the available data.

Similar Providers

3142, Mercer Lane, University City, San Diego, San Diego County, California, 92122, United States
NPI: 1770588485
10531 4S COMMONS DR STE 168
NPI: 1972501591
303, East Main Street, El Cajon, San Diego County, California, 92020, United States
NPI: 1861493769
3601, West Florida Avenue, Golden Village Rv Resort, Hemet, Riverside County, California, 92545, United States
NPI: 1710988027
8230, Mira Mesa Boulevard, Mira Mesa, San Diego, San Diego County, California, 92126, United States
NPI: 1063404515
3670, Clairemont Drive, San Diego, San Diego County, California, 92117, United States
NPI: 1740274372
Naval Medical Center San Diego, 34800, Bob Wilson Drive, Golden Hill, San Diego, San Diego County, California, 92101, United States
NPI: 1669460895
9580, Black Mountain Road, Little India, San Diego, San Diego County, California, 92126, United States
NPI: 1053309005
Horton Plaza, Marina, Banker's Hill, San Diego, San Diego County, California, 92101, United States
NPI: 1326037706