DR. MARIA GUADALUPE TARIN-LOPEZ (O.D.) – Optometrist, NPI 1174768964

DR. MARIA GUADALUPE TARIN-LOPEZ (O.D.) is a healthcare provider. based in Vallejo, California. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 13679T (CA). The NPI Number for DR. MARIA GUADALUPE TARIN-LOPEZ (O.D.) is 1174768964

Main info

Female
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARIA GUADALUPE TARIN-LOPEZ (O.D.)
NPI
1174768964
Phone
(510) 334-9423
Address
2623 SPRINGS RD
Enumeration Date
8 December 2008
Last Update Date
11 February 2022

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA - SCHOOL OF OPTOMETRY
Secondary Phone
7074374095
Graduation Year
2007 (19 years ago)
PAC ID
7113083239
Group Practice PAC ID
8224084009
Professional Enrollment ID
I20090225000493
Address ID
CA945351909TR461XXCIRX300

Contacts

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

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:17State licenses:1Other namesUpdated within 12 months

3,909 OPTOMETRY in CA

Provider Addresses for DR. MARIA GUADALUPE TARIN-LOPEZ (O.D.)

  • 2623, Springs Road, Springhill Shopping Center, Vallejo, Solano County, California, 94591, United States

    VALLEJO, CA 945915712

    Phone: (510) 334-9423

    Type: Mailing

  • 461 SKYMASTER CIR

    TRAVIS AFB, CA 945351909

    Phone: (707) 437-4095

    Fax: (707) 437-4095

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2009-02-25

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
I20090225000493IOptometryCATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system1515$0
View full utilization report →

Insurance plans in this area (ZIP 94591)

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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: 8224084009View full group profile
NameSpecialtyState
-CA
O P T O M E T R YUT
O P T O M E T R YCA
O P T O M E T R YAZ

Reviews

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Frequently asked questions

Can I cross-check DR. MARIA GUADALUPE TARIN-LOPEZ (O.D.) using NPI 1174768964?
NPI 1174768964 belongs to DR. MARIA GUADALUPE TARIN-LOPEZ (O.D.); compare other details if you need extra assurance.
Is there an active status for DR. MARIA GUADALUPE TARIN-LOPEZ (O.D.)?
For scheduling context, DR. MARIA GUADALUPE TARIN-LOPEZ (O.D.) is shown as active in the registry.
How would a patient describe DR. MARIA GUADALUPE TARIN-LOPEZ (O.D.)'s focus?
For DR. MARIA GUADALUPE TARIN-LOPEZ (O.D.), the primary taxonomy reads as Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. MARIA GUADALUPE TARIN-LOPEZ (O.D.) associated with Vallejo?
Public fields place DR. MARIA GUADALUPE TARIN-LOPEZ (O.D.) around Vallejo, California. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for DR. MARIA GUADALUPE TARIN-LOPEZ (O.D.) is noted as December 8, 2008 where the registry provides it.

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