1. Home
  2. Directory
  3. California
  4. Pomona
  5. Optometrist
  6. NPI Profile

POMONA OPTOMETRY
NPI 1295831485
Optometrist in Pomona, CA

Active since September 15, 2006
1101 E HOLT AVE, STE D, POMONA, CA 91767(909) 620-4546(909) 620-4546 Get Directions Write a Review

NPPES record last updated: September 17, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Pomona Optometry NPPES

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

POMONA OPTOMETRY (NPI 1295831485) is a healthcare organization registered as an optometrist in Pomona, California and active in the NPI registry since September 2006. The organization lists Kieutien Phan Tonnu, President, as its authorized official.

NPPES Registry Identity

NPI1295831485
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameKT TONNU AN OPTOMETRIC CORPORATION
Location Address1101 E HOLT AVE, STE DPomona, CA 91767-5800
Mailing Address1101 E Holt Ave, Ste DPomona, CA 91767-5800 · (909) 620-4546 · Fax (909) 620-4546
Phone(909) 620-4546
Fax(909) 620-4546
Organization SubpartNo
Authorized OfficialKieutien Phan TonnuPresident · (909) 620-4546
Enumeration DateSeptember 15, 2006
Last NPPES UpdateSeptember 17, 2014
✔ NPI 1295831485 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 · 10429T
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.
1101 E HOLT AVE, Pomona, CA 91767
Open in Google Maps ↗

Other Names 1

Other NamePomona Optometry

Other Identifiers 4

Medicare UPINU51704
Medicare PINWOP10429FCA
Medicare PINWY158CA
MedicaidSDO104290CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pomona Optometry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Pomona Optometry, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kieutien Tonnu, O.D.
Optometry
NPI 1639331614
1101 E HOLT AVE SUITE D
Pomona, CA 91767
(909) 620-4546
✔ PECOSSame address

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

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 Kt Tonnu An Optometric Corporation's NPI number?

The NPI number for Kt Tonnu An Optometric Corporation is 1295831485. It was assigned to this organization in the NPPES registry on September 15, 2006. The provider is also known as Pomona Optometry.

Where is Kt Tonnu An Optometric Corporation located?

Kt Tonnu An Optometric Corporation is located at 1101 E Holt Ave Ste D, Pomona, CA 91767. The listed phone number is (909) 620-4546.

What is Kt Tonnu An Optometric Corporation's specialty?

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

Is Kt Tonnu An Optometric Corporation enrolled in Medicare?

Yes. Kt Tonnu An Optometric Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kt Tonnu An Optometric Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Kt Tonnu An Optometric Corporation. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Kt Tonnu An Optometric Corporation accept?

Health plans from Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana list Kt Tonnu An Optometric Corporation 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 Kt Tonnu An Optometric Corporation was last updated on September 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.