Crystal Kimiko Tom, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

34158TLG Issued in CA

Practice address

7075 N Sharon Ave
Fresno, CA 93720-3329

Phone

(559) 486-2000

Fax

(559) 256-8595

NPI assigned

Aug 1, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Crystal Kimiko Kawano Former name

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

Southern California College of Optometry, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vision Care Center a Medical Group IncGroup PAC ID 8729985015, 19 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.05 of 100Reported as group

Quality

88.19

Promoting interoperability

100

Improvement activities

40

Cost

76.37

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• Direct secure messaging: crystal.tom.p1@direct.eyeqvc.nextgenshare.com

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.

• Vision Care Center, a Medical Group, Inc

  dba Eye-Q Vision Care

  • Ophthalmology Physician
  • Fresno, CA
  • NPI 1194802868

  Optometrist

  Medicare reassignment Care Compare group NPD
• Marshall B. Ketchum University

  • Optometrist
  • Anaheim, CA
  • NPI 1720101876
  Medicare reassignment NPD
• Marshall B. Ketchum University

  dba Ketchum Health Medical Clinic

  • Multi-Specialty Clinic/Center
  • Anaheim, CA
  • NPI 1174037493
  NPD
• Vision Care Center, a Medical Group Inc

  dba Eye-Q Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Fresno, CA
  • NPI 1497834931
  NPD
• Vision Care Center, a Medical Group Inc

  dba Eye-Q

  • Ophthalmology Physician
  • Clovis, CA
  • NPI 1720488802

  Optometrist

  NPD
• Ahmc San Gabriel Valley Medical

  dba AHMC San Gabriel Valley Medical Center

  • Skilled Nursing Facility
  • San Gabriel, CA
  • NPI 1710174818
  NPD (past)
• Vision Care Center, a Medical Group, Inc

  dba Eye-Q Vision Care

  • Ophthalmology Physician
  • Selma, CA
  • NPI 1235493925

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1619455631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7075 N SHARON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203329",
            "telephone_number": "559-486-2000",
            "fax_number": "559-256-8595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7075 N SHARON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203329",
            "telephone_number": "559-486-2000",
            "fax_number": "559-256-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOM",
        "first_name": "CRYSTAL",
        "middle_name": "KIMIKO",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-01",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34158TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "KAWANO",
            "middle_name": "KIMIKO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dulce Ayelen Tolentino- Morales
• Gigi Tolentino
• Johnson Tolentino, RN
• Marites Tolentino, RN
• Natasha Tolmachoff
• Cynthia Tom, M.D.
• Geoffrey Y. Tom, MD
• Michael Adam Tom, D.O.
• Megan Kiyome Tomajan, MD
• Daisy Jane Japos Tomambo

• Optometrist in Fresno, CA
• Providers in Fresno, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.