Individual provider Active NPI

Luke Christopher Simon, DO

  • Ophthalmology Physician
  • Stockton, CA
National Provider Identifier
1740804590
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
20A23643 Issued in CA
Practice address
255 E Weber Ave
Stockton, CA 95202-2706
Phone
(209) 466-5566
NPI assigned
Jun 7, 2020
Last updated
Jul 31, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 20A23643 CA Primary

Addresses

Primary practice location

255 E Weber Ave
Stockton, CA 95202-2706

Mailing address

255 E Weber Ave
Stockton, CA 95202-2706
Phone (209) 466-5566

Other practice location 1

1801 E March Ln
Stockton, CA 95210-6629
Phone (209) 466-5566

Other practice location 2

421 S Ham Ln
Lodi, CA 95242-3049
Phone (209) 466-5566

Other practice location 3

817 Court St
Jackson, CA 95642-2156
Phone (209) 466-5566

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250428001711 CA Practitioner - Ophthalmology 1759807381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zeiter Eye Medical Group IncGroup PAC ID 8527018316, 11 clinicians

Practice addresses (Care Compare)

255 E Weber Ave
Stockton, CA 95202-2706
Phone (209) 466-5566

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery259

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
23643CAMDClinical Social Worker
20A23643CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Zeiter Eye Medical Group, Inc. Ophthalmology CurrentSince May 1, 2025 Accepting new patients
Zeiter Eye Medical Group, Inc CurrentSince May 1, 2025 Accepting new patients
Newsom Eye & Laser Center Inc Ophthalmology Current Accepting new patients
Zeiter Eye Medical Group, Inc Ophthalmology Current Accepting new patients
Zeiter Eye Medical Group, Inc. Ophthalmology Past Accepting new patients

Locations

817 Court St
Ste 10
Jackson, CA 95642
Phone (209) 223-2020

421 S Ham Ln
Ste A
Lodi, CA 95242
Phone (209) 366-0446

1630 W Yosemite Ave
Ste 3
Manteca, CA 95337
Phone (209) 239-3880

1801 E March Ln
Ste A160
Stockton, CA 95210

1801 E March Ln
Ste C350
Stockton, CA 95210
Phone (209) 474-2121

255 E Weber Ave
Stockton, CA 95202
Phone (209) 461-2168

10 Bryson Dr
Sutter Creek, CA 95685
Phone (209) 223-1402

36 W 10th St
Tracy, CA 95376
Phone (209) 835-7446

4211 US 27 N
Sebring, FL 33870
Phone (863) 385-1544

13904 N Dale Mabry Hwy
Ste 200
Tampa, FL 33618
Phone (813) 908-2020

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: lsimon@newsomeyelaser.intellechartdirect.net

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1591488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1740804590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 E WEBER AVE",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952022706",
            "telephone_number": "209-466-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 E WEBER AVE",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952022706",
            "telephone_number": "209-466-5566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 E March Ln",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952106629",
            "country_code": "US",
            "telephone_number": "209-466-5566",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "421 S Ham Ln",
            "address_purpose": "LOCATION",
            "city": "Lodi",
            "state": "CA",
            "postal_code": "952423049",
            "country_code": "US",
            "telephone_number": "209-466-5566",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "817 Court St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "CA",
            "postal_code": "956422156",
            "country_code": "US",
            "telephone_number": "209-466-5566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMON",
        "first_name": "LUKE",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-07",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "20A23643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.