DR. JUSTIN SIMBULAN OD
NPI 1699296418
Optometrist in Houston, TX

Q: What is Justin Simbulan's NPI number?

The NPI number for Justin Simbulan is 1699296418. It was assigned to this individual provider in the NPPES registry on June 30, 2017.

Q: What is Justin Simbulan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Justin Simbulan was last updated on May 12, 2022. 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.

Active since June 30, 2017PECOS EnrolledAccepts Medicare Assignment

4401 MARTIN LUTHER KINGS BLVD, HOUSTON, TX 77204(713) 743-2020(713) 743-0963 Get Directions Write a Review

NPPES record last updated: May 12, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 12, 2022, Aug 31, 2020, Jun 30, 2017 (3 updates tracked since 2017).

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About Dr. Justin Simbulan Od NPPES

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

DR. JUSTIN SIMBULAN OD (NPI 1699296418) is an individual optometrist in Houston, Texas, licensed in Texas (9180) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and is a graduate of University Of Houston - College Of Optometry (2017).

NPPES Registry Identity

NPI1699296418

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. JUSTIN SIMBULANCredential: OD

Location Address4401 MARTIN LUTHER KINGS BLVDHouston, TX 77204-2020

Mailing Address4401 Martin Luther Kings BlvdHouston, TX 77204-2020 · (713) 743-2020 · Fax (713) 743-0963

Phone(713) 743-2020

Fax(713) 743-0963

Sole ProprietorYes

Medical School CMSUniversity Of Houston - College Of OptometryGraduated 2017

Enumeration DateJune 30, 2017

Last NPPES UpdateMay 12, 20223 updates tracked since enumeration

NPPES CertifiedMay 12, 2022

✔ NPI 1699296418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Licenses✔ Licensed in TX · 9180✔ Licensed in TX · 9180T

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.

4401 MARTIN LUTHER KINGS BLVD, Houston, TX 77204

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Other Identifiers 1

Medicaid415209201TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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. Justin Simbulan 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 ID6305265935

PECOS Enrollment IDI20201001001423

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 4

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.

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

57 services57 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

46 services46 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

21 services16 patients

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.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77204 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

$134.06 typical visit price

range $58.24 – $176.98

Typical copayment $33.51 (range $14.56 – $44.24)

Most-billed visit code 99204

Established Patient

$72.62 typical visit price

range $18.60 – $143.93

Typical copayment $18.15 (range $4.65 – $35.98)

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 8

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

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