CRYSTAL KIMIKO TOM O.D.
NPI 1619455631
Optometrist in Fresno, CA

Active since August 01, 2018PECOS EnrolledAccepts Medicare Assignment
89.94/100
CMS Quality Rating
7075 N SHARON AVE, FRESNO, CA 93720(559) 486-2000(559) 256-8595 Get Directions Write a Review

NPPES record last updated: February 22, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 22, 2021, Aug 28, 2019, Aug 1, 2018 (3 updates tracked since 2018).

About Crystal Kimiko Tom O.d. NPPES

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

CRYSTAL KIMIKO TOM O.D. (NPI 1619455631) is an individual optometrist in Fresno, California, licensed in California (34158TLG) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (2018).

NPPES Registry Identity

NPI1619455631
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameCRYSTAL KIMIKO TOMCredential: O.D.
Location Address7075 N SHARON AVEFresno, CA 93720-3329
Mailing Address7075 N Sharon AveFresno, CA 93720-3329 · (559) 486-2000 · Fax (559) 256-8595
Fax(559) 256-8595
Sole ProprietorNo
Medical School CMSSouthern California College Of OptometryGraduated 2018
Enumeration DateAugust 1, 2018
Last NPPES UpdateFebruary 22, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2021
NPI 1619455631 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 · 34158TLG
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.

7075 N SHARON AVE, Fresno, CA 93720

Other Names 1

Former Name (1)Crystal Kimiko Kawano

Accepted 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

Crystal Kimiko Tom 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 ID1355686726
PECOS Enrollment IDI20191021002073
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 12

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
965 services623 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
579 services552 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
450 services400 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
447 services409 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
155 services135 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
61 services60 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93720 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.11
Promoting Interoperability100
Improvement Activities40
Cost73.37

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers18 claims18 services$61.20 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Optometrist
7075 N SHARON AVE
FRESNO, CA 93720
Ophthalmology
7075 N SHARON AVE
FRESNO, CA 93720
Ophthalmology
7075 N SHARON AVE
FRESNO, CA 93720
Optometrist
7075 N SHARON AVE
FRESNO, CA 93720
Optometrist
7075 N SHARON AVE
FRESNO, CA 93720
Optometrist
7075 N SHARON AVE
FRESNO, CA 93720
Optometrist
7075 N SHARON AVE
FRESNO, CA 93720
Ophthalmology
7075 N SHARON AVE
FRESNO, CA 93720

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 Crystal Tom's NPI number?

The NPI number for Crystal Tom is 1619455631. It was assigned to this individual provider in the NPPES registry on August 1, 2018. The provider is also known as Crystal Kimiko Kawano.

Where is Crystal Tom located?

Crystal Tom practices at 7075 N Sharon Ave, Fresno, CA 93720. The listed phone number is (559) 486-2000.

What is Crystal Tom's specialty?

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

Is Crystal Tom enrolled in Medicare?

Yes. Crystal Tom 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 Crystal Tom accept?

Health plans from Providence Health Plan list Crystal Tom 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 Crystal Tom was last updated on February 22, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.