DR. AMAAL ODISH (O.D.) – Optometrist, NPI 1295751642

DR. AMAAL ODISH (O.D.) is a healthcare provider. based in El cajon, California. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 11379TPA (CA). The NPI Number for DR. AMAAL ODISH (O.D.) is 1295751642

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. AMAAL ODISH (O.D.)
NPI
1295751642
Phone
(619) 447-1139
Address
844 E WASHINGTON AVE
Enumeration Date
15 July 2006
Last Update Date
6 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6195285000
Graduation Year
2000 (26 years ago)
PAC ID
4880784008
Group Practice PAC ID
6002729175
Professional Enrollment ID
I20071212000161
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
Experience52
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

3,909 OPTOMETRY in CA

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Provider Addresses for DR. AMAAL ODISH (O.D.)

  • 844, East Washington Avenue, El Cajon, San Diego County, California, 92020, United States

    EL CAJON, CA 920205364

    Phone: (619) 447-1139

    Fax: (619) 447-6239

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $125.

Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.

Last reported payment date: 2023-01-09 • Largest payer in this snapshot: BIOTISSUE HOLDINGS, INC. ($125).

Total Amount

$125

General + Research + Ownership

Payments

1

Total payment records

General Amount

$125

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-09

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
BIOTISSUE HOLDINGS, INC.$125
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: 2007-12-12

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
I20071212000161IOptometryCATBD

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 92020)

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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: 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

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Frequently asked questions

What is DR. AMAAL ODISH (O.D.)'s NPI number?
DR. AMAAL ODISH (O.D.)'s NPI is 1295751642 — the number used across U.S. healthcare to identify this provider.
Is DR. AMAAL ODISH (O.D.) still an active registrant?
DR. AMAAL ODISH (O.D.) carries an active NPI according to the public dataset.
How would a patient describe DR. AMAAL ODISH (O.D.)'s focus?
For DR. AMAAL ODISH (O.D.), the primary taxonomy reads as Optometrist. Clinical services aligned with this taxonomy classification.
Where in California is DR. AMAAL ODISH (O.D.) registered?
Use El Cajon, California as the headline location for DR. AMAAL ODISH (O.D.) here.
When was this NPI issued?
Enumeration for DR. AMAAL ODISH (O.D.) is noted as July 15, 2006 where the registry provides it.

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