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POMONA VALLEY OPTOMETRY INC
NPI 1316911100
Optometrist in Pomona, CA

Active since February 16, 2006
1900 ROYALTY DR, STE 100, POMONA, CA 91767(909) 469-4804(909) 469-4807 Get Directions Write a Review

NPPES record last updated: September 20, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Pomona Valley Optometry Inc NPPES

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

POMONA VALLEY OPTOMETRY INC (NPI 1316911100) is a healthcare organization registered as an optometrist in Pomona, California and active in the NPI registry since February 2006. The organization lists Khanh Van Le, President, as its authorized official.

NPPES Registry Identity

NPI1316911100
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NamePOMONA VALLEY OPTOMETRY INC
Location Address1900 ROYALTY DR, STE 100Pomona, CA 91767-3048
Mailing Address1900 Royalty Dr, Ste 100Pomona, CA 91767-3048 · (909) 469-4804 · Fax (909) 469-4807
Phone(909) 469-4804
Fax(909) 469-4807
Organization SubpartNo
Authorized OfficialKhanh Van LePresident · (909) 469-4804
Enumeration DateFebruary 16, 2006
Last NPPES UpdateSeptember 20, 2023
NPPES CertifiedSeptember 19, 2023
✔ NPI 1316911100 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 · 152W00000X
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.
1900 ROYALTY DR, Pomona, CA 91767
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Other Identifiers 1

MedicaidSD0095951CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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 Valley Optometry Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Pomona Valley Optometry Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Jennifer Le, OD
Optometry
NPI 1932938883
1900 ROYALTY DR STE 100
Pomona, CA 91767
(909) 469-4804
✔ PECOS✔ Accepts MedicareSame address
Khanh Le, O.D.
Optometry
NPI 1760526842
1900 ROYALTY DR STE 100
Pomona, CA 91767
(909) 469-4804
✔ PECOS✔ Accepts MedicareSame 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 Pomona Valley Optometry Inc's NPI number?

The NPI number for Pomona Valley Optometry Inc is 1316911100. It was assigned to this organization in the NPPES registry on February 16, 2006.

Where is Pomona Valley Optometry Inc located?

Pomona Valley Optometry Inc is located at 1900 Royalty Dr Ste 100, Pomona, CA 91767. The listed phone number is (909) 469-4804.

What is Pomona Valley Optometry Inc's specialty?

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

Is Pomona Valley Optometry Inc enrolled in Medicare?

Yes. Pomona Valley Optometry Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pomona Valley Optometry Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Pomona Valley Optometry Inc. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Pomona Valley Optometry Inc accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list Pomona Valley Optometry Inc 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 Pomona Valley Optometry Inc was last updated on September 20, 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.