Doctor profile · Federal record
Dr. Queen Thach, O.D.
Optometrist (CMS: Optometry) · Optometrist · El Cajon, CA
- NPI 1053841478
- Accepts Medicare
- 9 yrs in practice
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
2907 Jamacha RD Ste A
El Cajon, CA 920194342
(619) 660-0272
fax (619) 660-0310 - Mailing address
-
7419 Caminito Carlotta
San Diego, CA 921202216
Credentials & registration
- NPI registered
- June 2017 — 9 yrs on file
- Profile last updated
- April 15, 2021
- Year of graduation
- 2017 — 9 yrs since
- Specialty taxonomy
- 152W00000X — NUCC code
- State licenses (2)
- California #OPT33685-TLG · New York #TUV009101-01
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1053841478. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$30
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Mallinckrodt Hospital Products Inc. | 1 | $30.37 |
By nature of payment
Frequently asked questions
What is Dr. Queen Thach's medical specialty?
Dr. Queen Thach practices Optometrist in El Cajon, CA.
Where does Dr. Queen Thach practice?
Dr. Queen Thach practices at 2907 Jamacha RD Ste A, El Cajon, CA 920194342. Office phone: 6196600272.
What is Dr. Queen Thach's NPI?
Dr. Queen Thach's National Provider Identifier (NPI) is 1053841478, issued by NPPES.
Does Dr. Queen Thach accept Medicare assignment?
Yes. Dr. Queen Thach accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.