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MS. JUDY LEE TOM O.D.
NPI 1396706644
Optometrist in San Jose, CA

Active since March 28, 2006PECOS Enrolled
874C BLOSSOM HILL RD, SAN JOSE, CA 95123(408) 226-8666(408) 226-2382 Get Directions Write a Review

NPPES record last updated: November 27, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ms. Judy Lee Tom O.d. NPPES

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

MS. JUDY LEE TOM O.D. (NPI 1396706644) is an individual optometrist in San Jose, California, licensed in California (92860T) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396706644
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMS. JUDY LEE TOMCredential: O.D.
Location Address874C BLOSSOM HILL RDSan Jose, CA 95123-2725
Mailing Address6500 Hirabayashi DrSan Jose, CA 95120-4500 · (408) 226-8666 · Fax (408) 226-2382
Phone(408) 226-8666
Fax(408) 226-2382
Sole ProprietorNo
Enumeration DateMarch 28, 2006
Last NPPES UpdateNovember 27, 2012
✔ NPI 1396706644 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 · 92860T
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.
874C BLOSSOM HILL RD, San Jose, CA 95123
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Other Names 1

Professional Name (2)Dr. Judy Lee O.d.

Other Identifiers 2

Medicare PINGM363ZCA
MedicaidSD0092860CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Judy Lee Tom O.d. 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 Judy Tom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Provider Profile
6.5 mi
Optometrist
1101 S WINCHESTER BLVD STE E156
San Jose, CA 95128
  • Reassigned Medicare billing, California enrollment
  • 3 clinicians in this Medicare group
NPI 1386729713 (408) 244-8700

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 95123 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
$156.67 typical visit price
range $70.37 – $206.04
Typical copayment $39.16 (range $17.59 – $51.51)
Most-billed visit code 99204
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
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 2

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

EYE CLUB INC
Optometrist
874C BLOSSOM HILL RD
SAN JOSE, CA 95123
Santa Clara County (408) 226-8666
DR. RICHARD TOM O.D.
Optometrist
874C BLOSSOM HILL RD
SAN JOSE, CA 95123
Santa Clara County (408) 226-8666

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 Judy Tom's NPI number?

The NPI number for Judy Tom is 1396706644. It was assigned to this individual provider in the NPPES registry on March 28, 2006. The provider is also known as Dr. Judy Lee O.D..

Where is Judy Tom located?

Judy Tom practices at 874C Blossom Hill Rd, San Jose, CA 95123. The listed phone number is (408) 226-8666.

What is Judy Tom's specialty?

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

Is Judy Tom enrolled in Medicare?

Yes. Judy Tom is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Judy Tom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Judy Tom reassigns Medicare benefits to (San Jose, 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 Judy Tom'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 Judy Tom was last updated on November 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.