1. Home
  2. Directory
  3. Ohio
  4. Aurora
  5. Optometrist
  6. NPI Profile

DR. JAMES W TOMKO O.D.
NPI 1376682625
Optometrist in Aurora, OH

Active since February 05, 2007PECOS EnrolledAccepts Medicare Assignment
215 W GARFIELD RD, STE 130, AURORA, OH 44202(330) 562-2020(330) 562-2867 Get Directions Write a Review

NPPES record last updated: February 7, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. James W Tomko O.d. NPPES

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

DR. JAMES W TOMKO O.D. (NPI 1376682625) is an individual optometrist in Aurora, Ohio, licensed in Ohio (3900) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (1986).

NPPES Registry Identity

NPI1376682625
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JAMES W TOMKOCredential: O.D.
Location Address215 W GARFIELD RD, STE 130Aurora, OH 44202-7849
Mailing Address215 W Garfield Rd, Ste 130Aurora, OH 44202-7849 · (330) 562-2020 · Fax (330) 562-2867
Phone(330) 562-2020
Fax(330) 562-2867
Sole ProprietorNo
Medical School CMSOhio State University - College Of OptometryGraduated 1986
Enumeration DateFebruary 5, 2007
Last NPPES UpdateFebruary 7, 2014
✔ NPI 1376682625 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 OH · 3900
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.
215 W GARFIELD RD, Aurora, OH 44202
Open in Google Maps ↗

Other Identifiers 2

Other000000135401OH · Anthem
Medicare PINH217551OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, CareSource, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. James W Tomko O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850422171
PECOS Enrollment IDI20100701000129
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
124 services124 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
45 services39 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44202 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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 James Tomko's NPI number?

The NPI number for James Tomko is 1376682625. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Where is James Tomko located?

James Tomko practices at 215 W Garfield Rd Ste 130, Aurora, OH 44202. The listed phone number is (330) 562-2020.

What is James Tomko's specialty?

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

Is James Tomko enrolled in Medicare?

Yes. James Tomko is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does James Tomko accept?

Health plans from BlueCross BlueShield of Tennessee, CareSource and Providence Health Plan list James Tomko 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 James Tomko was last updated on February 7, 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.