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AMY ROSE TO O.D.
NPI 1629129358
Optometrist in San Bernardino, CA

Active since January 16, 2007PECOS EnrolledAccepts Medicare Assignment
1887 BUSINESS CENTER DR, SUITE 2A, SAN BERNARDINO, CA 92408(909) 383-1053(909) 381-2144 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amy Rose To O.d. NPPES

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

AMY ROSE TO O.D. (NPI 1629129358) is an individual optometrist in San Bernardino, California, licensed in California (10947T) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (1997).

NPPES Registry Identity

NPI1629129358
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameAMY ROSE TOCredential: O.D.
Location Address1887 BUSINESS CENTER DR, SUITE 2ASan Bernardino, CA 92408-3463
Mailing Address15736 San Roque RdFontana, CA 92337-0920 · (909) 357-8606
Phone(909) 383-1053
Fax(909) 381-2144
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 1997
Enumeration DateJanuary 16, 2007
Last NPPES UpdateNovember 29, 2021
✔ NPI 1629129358 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 · 10947T
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.
1887 BUSINESS CENTER DR, San Bernardino, CA 92408
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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

Amy Rose To 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 ID7416025416
PECOS Enrollment IDI20081003000494
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92408 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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 5

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

KIYAN OPTOMETRIC
Optometrist
1887 BUSINESS CENTER DR, SUITE 2A
SAN BERNARDINO, CA 92408
San Bernardino County (909) 383-1053
DR. RICHARD ALEX YOUNG DENTIST
Dentist (General Practice)
1887 BUSINESS CENTER DR, SUITE 1A
SAN BERNARDINO, CA 92408
San Bernardino County (909) 888-4482
MISS HEATHER REANNA COPELAND MFT-I
Marriage & Family Therapist
1887 BUSINESS CENTER DR, #5
SAN BERNARDINO, CA 92408
San Bernardino County (909) 890-9837
DR. PAUL ARNOLD KIYAN O.D.
Optometrist
1887 BUSINESS CENTER DR, SUITE 2A
SAN BERNARDINO, CA 92408
San Bernardino County (909) 383-1053
DR. JULIE-ANN MARIE ZERNE DENTIST
Dentist (General Practice)
1887 BUSINESS CENTER DR, SUITE 1A
SAN BERNARDINO, CA 92408
San Bernardino County (909) 888-4482

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 Amy To's NPI number?

The NPI number for Amy To is 1629129358. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Amy To located?

Amy To practices at 1887 Business Center Dr Suite 2A, San Bernardino, CA 92408. The listed phone number is (909) 383-1053.

What is Amy To's specialty?

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

Is Amy To enrolled in Medicare?

Yes. Amy To 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.

When was this NPI record last updated?

The NPPES record for Amy To was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.