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XIN YUAN TIAN OD
NPI 1255059630
Optometrist in Dublin, CA

Active since August 22, 2022PECOS Enrolled
3860 FALLON RD, DUBLIN, CA 94568(925) 361-0411 Get Directions Write a Review

NPPES record last updated: January 3, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 3, 2023, Aug 22, 2022 (2 updates tracked since 2022).

About Xin Yuan Tian Od NPPES

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

XIN YUAN TIAN OD (NPI 1255059630) is an individual optometrist in Dublin, California, licensed in California (35182) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1255059630
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameXIN YUAN TIANCredential: OD
Location Address3860 FALLON RDDublin, CA 94568-4277
Mailing Address3860 Fallon RdDublin, CA 94568-4277 · (909) 859-4263
Phone(925) 361-0411
Sole ProprietorYes
Enumeration DateAugust 22, 2022
Last NPPES UpdateJanuary 3, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2023
✔ NPI 1255059630 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 · 35182
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.
3860 FALLON RD, Dublin, CA 94568
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1388 9th St Ste 157Oakland, CA 94607-4290 · Phone (510) 268-9600
Location 22709 Stoneridge Dr # 112Pleasanton, CA 94588-8358 · Phone (925) 462-1100

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Xin Yuan Tian 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.

Medicare Billing Reassignment

Medicare enrollment records show Xin Yuan Tian reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

East Bay Vision Center Optometry Inc
14 mi
Optometrist
34420 FREMONT BLVD, STE E
Fremont, CA 94555
  • Reassigned Medicare billing, California enrollment
  • 5 clinicians in this Medicare group
NPI 1083743066 (510) 796-9600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94568 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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.

TAN TRUONG OD INC
Optometrist
3860 FALLON RD
DUBLIN, CA 94568
Alameda County (510) 717-4462

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 Xin Yuan Tian's NPI number?

The NPI number for Xin Yuan Tian is 1255059630. It was assigned to this individual provider in the NPPES registry on August 22, 2022.

Where is Xin Yuan Tian located?

Xin Yuan Tian practices at 3860 Fallon Rd, Dublin, CA 94568. The listed phone number is (925) 361-0411.

What is Xin Yuan Tian's specialty?

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

Is Xin Yuan Tian enrolled in Medicare?

Yes. Xin Yuan Tian is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Xin Yuan Tian's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Xin Yuan Tian reassigns Medicare benefits to East Bay Vision Center Optometry Inc (Fremont, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Xin Yuan Tian's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Xin Yuan Tian was last updated on January 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.