Active NPI
Luke Christopher Simon, DO
- Ophthalmology Physician
- Stockton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 20A23643
- Practice address
- 255 E Weber Ave
Stockton, CA 95202-2706 - Phone
- (209) 466-5566
- NPI assigned
- Jun 7, 2020
- Last updated
- Jul 31, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
255 E Weber Ave
Stockton, CA 95202-2706
Phone (209) 466-5566
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 259 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23643 | CA | MD | Clinical Social Worker |
| 20A23643 | CA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zeiter Eye Medical Group, Inc. | Ophthalmology | Current | Accepting new patients |
| Zeiter Eye Medical Group, Inc | Current | 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
- 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.
-
- Ophthalmology Physician
- Stockton, CA
- NPI 1730195173
-
- Ophthalmology Physician
- Elk Grove, CA
- NPI 1346662970
-
- Ophthalmology Physician
- Tampa, FL
- NPI 1619963493
-
- Ophthalmology Physician
- Stockton, CA
- NPI 1740214634
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; 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.