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NPI · 1053757039 · NPPES-sourced

Summit Optometric Eyecare

ActiveOptometrist
NPI Number
1053757039
Type 2 · Organisation
Taxonomy Code
152W00000X
Contact
(626) 376-3513
License CA · 11209T
Last Updated
Enumerated
Primary practice addressCA · 93065-1857
690 E Los Angeles Ave, Suite ASimi Valley, CA 93065-1857
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About this NPIWhat this record shows.

NPI 1053757039 is registered to Summit Optometric Eyecare, a healthcare organisation classified as "Optometrist" and located at 690 E Los Angeles Ave, Suite A in Simi Valley, California. The organisation's authorised official is John Ryu. The organisation has been enumerated in the NPI registry since 2013.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Summit Optometric Eyecare accepts. To confirm in-network status with your specific health plan, contact Summit Optometric Eyecare directly at (626) 376-3513.

Frequently asked

Yes. NPI 1053757039 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Optometrist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (626) 376-3513.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Summit Optometric Eyecare is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy152W00000X
Last updated
Enumerated
StatusActive
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