Summit Optometric Eyecare
NPI 1053757039 · Optometrist · Simi Valley, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Summit Optometric Eyecare is a Optometrist organization in Simi Valley, CA (NPI 1053757039).
Provider details
- NPI number
- 1053757039
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- John Ryu, Ceo/Optometrist(626) 376-3513
- License
- 11209T (CA)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-05-16
- Last updated
- 2013-08-05
Frequently asked questions
- What is Summit Optometric Eyecare's NPI number?
- Summit Optometric Eyecare's National Provider Identifier (NPI) is 1053757039, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Summit Optometric Eyecare?
- Summit Optometric Eyecare is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Summit Optometric Eyecare located?
- Summit Optometric Eyecare's practice location on file with NPPES is 690 E Los Angeles Ave, Simi Valley, CA 93065-1857.
- What is Summit Optometric Eyecare's phone number?
- The practice phone number listed in the NPPES registry for Summit Optometric Eyecare is (626) 376-3513.
- Does Summit Optometric Eyecare accept Medicare?
- Summit Optometric Eyecare is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Summit Optometric Eyecare?
- The authorized official listed on Summit Optometric Eyecare's NPPES record is John Ryu, Ceo/Optometrist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Summit Optometric Eyecare's NPI active?
- Yes — Summit Optometric Eyecare's NPI (1053757039) is active in the NPPES registry as of the last update on 2013-08-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.