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DR. PRUDENCE TAM OD
NPI 1093497588
Optometrist in Rancho Cucamonga, CA

Active since August 03, 2023PECOS Enrolled
8977 FOOTHILL BLVD STE C, RANCHO CUCAMONGA, CA 91730(909) 987-4919 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 9, 2025, Oct 2, 2023 (2 updates tracked since 2023).

About Dr. Prudence Tam Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PRUDENCE TAM OD (NPI 1093497588) is an individual optometrist in Rancho Cucamonga, California, licensed in California (35217) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Pomona.

NPPES Registry Identity

NPI1093497588
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. PRUDENCE TAMCredential: OD
Location Address8977 FOOTHILL BLVD STE CRancho Cucamonga, CA 91730-3498
Mailing Address19071 Bear Valley Rd Ste 3Apple Valley, CA 92308-2718
Phone(909) 987-4919
Sole ProprietorNo
Enumeration DateAugust 3, 2023
Last NPPES UpdateApril 9, 20252 updates tracked since enumeration
NPPES CertifiedApril 9, 2025
✔ NPI 1093497588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CA · 35217
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
8977 FOOTHILL BLVD STE C, Rancho Cucamonga, CA 91730
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Secondary Practice Location 1

Location 1300 S Park Ave Ste 120Pomona, CA 91766-1501 · Phone (909) 622-3531

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Prudence Tam Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91730 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JANINE NGUYEN OD
Optometrist
8977 FOOTHILL BLVD STE C
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 987-4919

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prudence Tam's NPI number?

The NPI number for Prudence Tam is 1093497588. It was assigned to this individual provider in the NPPES registry on August 3, 2023.

Where is Prudence Tam located?

Prudence Tam practices at 8977 Foothill Blvd Ste C, Rancho Cucamonga, CA 91730. The listed phone number is (909) 987-4919.

What is Prudence Tam's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Prudence Tam enrolled in Medicare?

Yes. Prudence Tam is registered in the Medicare PECOS enrollment system.

What insurance does Prudence Tam accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Prudence Tam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Prudence Tam was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.