TUSTIN OPTOMETRIC CENTER
NPI 1952940702
Optometrist in Santa Ana, CA

Active since December 26, 2019
2390 N TUSTIN AVE STE B, SANTA ANA, CA 92705(714) 543-3167 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 8, 2024, Dec 26, 2019 (2 updates tracked since 2019).

About Tustin Optometric Center NPPES

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

TUSTIN OPTOMETRIC CENTER (NPI 1952940702) is a healthcare organization registered as an optometrist in Santa Ana, California and active in the NPI registry since December 2019. The organization lists Anna Sun Kame, Cfo/secretary, as its authorized official.

NPPES Registry Identity

NPI1952940702
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameTUSTIN OPTOMETRIC CENTER
Location Address2390 N TUSTIN AVE STE BSanta Ana, CA 92705-1657
Mailing Address4181 Eureka AveYorba Linda, CA 92886-6103
Organization SubpartNo
Authorized OfficialAnna Sun KameCfo/secretary · (213) 357-2025
Enumeration DateDecember 26, 2019
Last NPPES UpdateOctober 8, 20242 updates tracked since enumeration
NPPES CertifiedOctober 8, 2024
✔ NPI 1952940702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
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.
2390 N TUSTIN AVE STE B, Santa Ana, CA 92705

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tustin Optometric Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Tustin Optometric Center, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Optometry
NPI 1518938307
2390 N TUSTIN AVE STE B
Santa Ana, CA 92705
(714) 543-3167
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1619502705
2390 N TUSTIN AVE STE B
Santa Ana, CA 92705
(714) 543-3167
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1376585331
25260 LA PAZ RD STE G
Laguna Hills, CA 92653
(949) 586-8200
✔ PECOS✔ Accepts Medicare15 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Tustin Optometric Center's NPI number?

The NPI number for Tustin Optometric Center is 1952940702. It was assigned to this organization in the NPPES registry on December 26, 2019.

Where is Tustin Optometric Center located?

Tustin Optometric Center is located at 2390 N Tustin Ave Ste B, Santa Ana, CA 92705. The listed phone number is (714) 543-3167.

What is Tustin Optometric Center's specialty?

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

Is Tustin Optometric Center enrolled in Medicare?

Yes. Tustin Optometric Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tustin Optometric Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Tustin Optometric Center. A 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 the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Tustin Optometric Center accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list Tustin Optometric Center 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 Tustin Optometric Center was last updated on October 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.