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SAMANTHA ERIKA ITO OD
NPI 1386561280
Optometrist in Anaheim, CA

Active since July 01, 2026PECOS EnrolledAccepts Medicare Assignment
5460 E LA PALMA AVE, ANAHEIM, CA 92807(714) 992-7833 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Samantha Erika Ito Od NPPES

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

SAMANTHA ERIKA ITO OD (NPI 1386561280) is an individual optometrist in Anaheim, California, licensed in California (36342) and active in the NPI registry since July 2026. She is enrolled in Medicare PECOS and is a graduate of University Of California - School Of Optometry (2026).

NPPES Registry Identity

NPI1386561280
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameSAMANTHA ERIKA ITOCredential: OD
Location Address5460 E LA PALMA AVEAnaheim, CA 92807-2023
Mailing Address5460 E La Palma AveAnaheim, CA 92807-2023
Phone(714) 992-7833
Sole ProprietorYes
Medical School CMSUniversity Of California - School Of OptometryGraduated 2026
Enumeration DateJuly 1, 2026
NPPES CertifiedJuly 1, 2026
✔ NPI 1386561280 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 · 36342
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.
5460 E LA PALMA AVE, Anaheim, CA 92807
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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samantha Erika Ito Od 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 ID6305301953
PECOS Enrollment IDI20260723003545
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 Samantha Ito reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Marshall B. Ketchum University
Same address
Optometrist
5460 E LA PALMA AVE
Anaheim, CA 92807
  • Reassigned Medicare billing, California enrollment
  • 131 clinicians in this Medicare group
NPI 1720101876 (714) 463-7500

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 92807 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 20

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

HENNA LO
Student in an Organized Health Care Education/Training Program
5460 E LA PALMA AVE
ANAHEIM, CA 92807
Orange County (714) 463-7500
MARITA BOLIS OD
Optometrist
5460 E LA PALMA AVE
ANAHEIM, CA 92807
Orange County (714) 463-7500
NATHAN AN PHAM
Student in an Organized Health Care Education/Training Program
5460 E LA PALMA AVE
ANAHEIM, CA 92807
Orange County (714) 463-7500
MINH-HAN-HANNAH NGUYEN
Student in an Organized Health Care Education/Training Program
5460 E LA PALMA AVE
ANAHEIM, CA 92807
Orange County (714) 463-7500
CLAUDETTE CONTRERAS
Student in an Organized Health Care Education/Training Program
5460 E LA PALMA AVE
ANAHEIM, CA 92807
Orange County (714) 463-7500
EMMA MEI LING YUE OD
Student in an Organized Health Care Education/Training Program
5460 E LA PALMA AVE
ANAHEIM, CA 92807
Orange County (714) 463-7500
BRYAN HIEU CHAU
Student in an Organized Health Care Education/Training Program
5460 E LA PALMA AVE
ANAHEIM, CA 92807
Orange County (714) 463-7500
SARA KIM
Student in an Organized Health Care Education/Training Program
5460 E LA PALMA AVE
ANAHEIM, CA 92807
Orange County (714) 463-7500

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 Samantha Ito's NPI number?

The NPI number for Samantha Ito is 1386561280. It was assigned to this individual provider in the NPPES registry on July 1, 2026.

Where is Samantha Ito located?

Samantha Ito practices at 5460 E La Palma Ave, Anaheim, CA 92807. The listed phone number is (714) 992-7833.

What is Samantha Ito's specialty?

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

Is Samantha Ito enrolled in Medicare?

Yes. Samantha Ito 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.

Which organization bills Medicare for Samantha Ito's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Ito reassigns Medicare benefits to Marshall B. Ketchum University (Anaheim, 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 Samantha Ito's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Ito 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 Samantha Ito 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 Samantha Ito was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.