JOHN KIYOSHI FUJII (O.D.) – Optometrist, NPI 1104883149

JOHN KIYOSHI FUJII (O.D.) is a healthcare provider. based in Stockton, California. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 9652T (CA). The NPI Number for JOHN KIYOSHI FUJII (O.D.) is 1104883149

Main info

Male
Sole Proprietor
35 Years Of Experience
Accepts Medicare Assignment
Name
JOHN KIYOSHI FUJII (O.D.)
NPI
1104883149
Phone
(209) 951-0820
Address
3133 W MARCH LN
Enumeration Date
26 April 2006
Last Update Date
6 March 2015

Doctor Profile

Medical School Name
UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Secondary Phone
9164077156
Graduation Year
1991 (35 years ago)
PAC ID
3678644994
Group Practice PAC ID
6002216488
Professional Enrollment ID
I20080613000372
Address ID
CA952192361ST3133XLNXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,909 OPTOMETRY in CA

Loading map...

Provider Addresses for JOHN KIYOSHI FUJII (O.D.)

  • West March Lane, Stockton, San Joaquin County, California, 95210, United States

    SUITE 2020

    STOCKTON, CA 952192361

    Phone: (209) 951-0820

    Fax: (209) 951-2348

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $392.

Total Amount is formed as General ($392) + Research ($0) + Ownership ($0) = $392.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Genentech USA, Inc. ($150).

Total Amount

$392

General + Research + Ownership

Payments

6

Total payment records

General Amount

$392

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-06-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080613000372IOptometryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system6565$0
92134Imaging of retina2020$0
92133Imaging of optic nerve1616$0
99213Established patient office or other outpatient visit, 20-29 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 95219)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002216488View full group profile
NameSpecialtyState
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YOH
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YCA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How is JOHN KIYOSHI FUJII (O.D.) identified in CMS data?
CMS-hosted NPPES data lists JOHN KIYOSHI FUJII (O.D.) with NPI 1104883149.
Can I rely on JOHN KIYOSHI FUJII (O.D.) being an active provider?
As of the registry snapshot, JOHN KIYOSHI FUJII (O.D.) is marked active.
What is JOHN KIYOSHI FUJII (O.D.)'s primary classification?
Optometrist is the headline specialty for JOHN KIYOSHI FUJII (O.D.) here. Clinical services aligned with this taxonomy classification.
Does JOHN KIYOSHI FUJII (O.D.) list a practice location?
Patients near Stockton, California may find JOHN KIYOSHI FUJII (O.D.) in results; validate coverage separately.
Why does JOHN KIYOSHI FUJII (O.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

Similar Providers

715, Lincoln Center, Lincoln Center Shops, Lincoln Village, Stockton, San Joaquin County, California, 95207, United States
NPI: 1669452801
1069 W March Ln
NPI: 1528038486
3133, West March Lane, Stockton, San Joaquin County, California, 95219, United States
NPI: 1376515130
West March Lane, Stockton, San Joaquin County, California, 95210, United States
NPI: 1528022035
3133, West March Lane, Stockton, San Joaquin County, California, 95219, United States
NPI: 1861456238
3133, West March Lane, Stockton, San Joaquin County, California, 95219, United States
NPI: 1568426609
West March Lane, Stockton, San Joaquin County, California, 95210, United States
NPI: 1386601292

LINDA HSU (O.D.)

Optometrist
3133, West March Lane, Stockton, San Joaquin County, California, 95219, United States
NPI: 1124086269