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DR. JUSTIN TADASHI ABO OD
NPI 1952386963
Optometrist in Rancho Cucamonga, CA

Active since December 13, 2005PECOS EnrolledAccepts Medicare Assignment
12759 FOOTHILL BLVD, STE C, RANCHO CUCAMONGA, CA 91739(909) 899-0026(909) 899-6381 Get Directions Write a Review

NPPES record last updated: June 19, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Justin Tadashi Abo Od NPPES

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

DR. JUSTIN TADASHI ABO OD (NPI 1952386963) is an individual optometrist in Rancho Cucamonga, California, licensed in California (11100T) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (1999).

NPPES Registry Identity

NPI1952386963
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JUSTIN TADASHI ABOCredential: OD
Location Address12759 FOOTHILL BLVD, STE CRancho Cucamonga, CA 91739-9336
Mailing Address12759 Foothill Blvd, Ste CRancho Cucamonga, CA 91739-9336 · (909) 899-0026 · Fax (909) 899-6381
Phone(909) 899-0026
Fax(909) 899-6381
Sole ProprietorNo
Medical School CMSSouthern California College Of OptometryGraduated 1999
Enumeration DateDecember 13, 2005
Last NPPES UpdateJune 19, 2014
✔ NPI 1952386963 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 · 11100T
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.
12759 FOOTHILL BLVD, Rancho Cucamonga, CA 91739
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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 Tadashi Abo 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 ID2163437609
PECOS Enrollment IDI20060221000230
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 2

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.

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.
17 services17 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.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91739 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 2

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

JUSTIN T. ABO, O.D.
Optometrist
12759 FOOTHILL BLVD, SUITE D
RANCHO CUCAMONGA, CA 91739
San Bernardino County (909) 899-0026
JUSTIN T ABO O D A PROFESSIONAL CORPORATION
Optometrist
12759 FOOTHILL BLVD, SUITE C
RANCHO CUCAMONGA, CA 91739
San Bernardino County (909) 899-0026

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 Justin Abo's NPI number?

The NPI number for Justin Abo is 1952386963. It was assigned to this individual provider in the NPPES registry on December 13, 2005.

Where is Justin Abo located?

Justin Abo practices at 12759 Foothill Blvd Ste C, Rancho Cucamonga, CA 91739. The listed phone number is (909) 899-0026.

What is Justin Abo's specialty?

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

Is Justin Abo enrolled in Medicare?

Yes. Justin Abo 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 Justin Abo accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Justin Abo 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 Justin Abo was last updated on June 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.