Justin Marc Tolman, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

12712T Issued in CA

Practice address

1245 Tharp Rd
Yuba City, CA 95993

Phone

(530) 674-5273

Fax

(530) 674-5275

NPI assigned

May 24, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pacific University - College of Optometry, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Three Rivers Optometric Group IncGroup PAC ID 7315908696, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Three Rivers Optometric Group Inc

  • Optometrist
  • Yuba City, CA
  • NPI 1497866545
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257984000000",
    "number": "1396790689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W RIO BONITO RD",
            "city": "BIGGS",
            "state": "CA",
            "postal_code": "95917",
            "telephone_number": "530-868-5065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 THARP RD",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "95993",
            "telephone_number": "530-674-5273",
            "fax_number": "530-674-5275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLMAN",
        "first_name": "JUSTIN",
        "middle_name": "MARC",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2009-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12712T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0127120",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lee Patrick Tocchi, M.D.
• Kosuke Tokunaga, M.D.
• Pamela D Toland, P.A.
• Mercedes Elaine Tolentino, AMFT, APCC
• Douglas Germond Tolley Jr., M.D.
• Micah Tomm, DPT
• Griselda Jennifer Torres
• Xavier Diego Torres
• Zitlali Ester Torres
• Sarah Marie Petersen Torrez, MS

• Optometrist in Yuba City, CA
• Providers in Yuba City, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.