Healthcare Provider Details

I. General information

NPI: 1023943487
Provider Name (Legal Business Name): SOFIA ALFARO OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 N EL CAMINO REAL
ENCINITAS CA
92024-1320
US

IV. Provider business mailing address

27662 ALISO CREEK RD APT 10310
ALISO VIEJO CA
92656-5818
US

V. Phone/Fax

Practice location:
  • Phone: 760-704-0293
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOPT36291-TLG
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: