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DR. JUDY LYNN ICHIUJI O.D.
NPI 1962461541
Optometrist in Burbank, CA

Active since March 21, 2006PECOS EnrolledAccepts Medicare Assignment
153 N SAN FERNANDO BLVD, BURBANK, CA 91502(818) 848-6659(818) 848-7911 Get Directions Write a Review

NPPES record last updated: September 29, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Judy Lynn Ichiuji O.d. NPPES

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

DR. JUDY LYNN ICHIUJI O.D. (NPI 1962461541) is an individual optometrist in Burbank, California, licensed in California (10040) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1962461541
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. JUDY LYNN ICHIUJICredential: O.D.
Location Address153 N SAN FERNANDO BLVDBurbank, CA 91502-1208
Mailing Address153 N San Fernando BlvdBurbank, CA 91502-1208 · (818) 848-6659 · Fax (818) 848-7911
Phone(818) 848-6659
Fax(818) 848-7911
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateMarch 21, 2006
Last NPPES UpdateSeptember 29, 2015
✔ NPI 1962461541 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 · 10040
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.
153 N SAN FERNANDO BLVD, Burbank, CA 91502
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Other Names 1

Other Name (5)Judy Lynn Monji O.d.

Other Identifiers 3

Medicare UPINU58762CA
Medicare PINFA823ZCA
MedicaidSD0100400CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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. Judy Lynn Ichiuji 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 ID7315844081
PECOS Enrollment IDI20031218001048
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 91502 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 3

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

MONJI OPTOMETRY, INC.
Optometrist
153 N SAN FERNANDO BLVD
BURBANK, CA 91502
Los Angeles County (818) 848-6659
DR. GARY TAKEO MONJI O.D.
Optometrist
153 N SAN FERNANDO BLVD
BURBANK, CA 91502
Los Angeles County (818) 848-6659
BRETT MONJI OD
Optometrist
153 N SAN FERNANDO BLVD
BURBANK, CA 91502
Los Angeles County (818) 848-6659

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 Judy Ichiuji's NPI number?

The NPI number for Judy Ichiuji is 1962461541. It was assigned to this individual provider in the NPPES registry on March 21, 2006. The provider is also known as Judy Lynn Monji O.D..

Where is Judy Ichiuji located?

Judy Ichiuji practices at 153 N San Fernando Blvd, Burbank, CA 91502. The listed phone number is (818) 848-6659.

What is Judy Ichiuji's specialty?

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

Is Judy Ichiuji enrolled in Medicare?

Yes. Judy Ichiuji 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 Judy Ichiuji accept?

Health plans from Providence Health Plan list Judy Ichiuji 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 Judy Ichiuji was last updated on September 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.