COLLEEN ITO (O.D.) – Optometrist, NPI 1144553207

COLLEEN ITO (O.D.) is a healthcare provider. based in Woodlake, California. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 9267 (CA). The NPI Number for COLLEEN ITO (O.D.) is 1144553207

Main info

Female
37 Years Of Experience
Accepts Medicare Assignment
Name
COLLEEN ITO (O.D.)
NPI
1144553207
Phone
(559) 564-2020
Address
160 S VALENCIA BLVD STE B
Enumeration Date
8 September 2009
Last Update Date
4 February 2010

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
5597820766
Graduation Year
1989 (37 years ago)
PAC ID
0244256568
Group Practice PAC ID
2466593918
Professional Enrollment ID
I20100106000838
Address ID
CA932573621PO100XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

3,909 OPTOMETRY in CA

Provider Addresses for COLLEEN ITO (O.D.)

  • 160 S VALENCIA BLVD STE B

    WOODLAKE, CA 932861712

    Phone: (559) 564-2020

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $109.

Total Amount is formed as General ($109) + Research ($0) + Ownership ($0) = $109.

Last reported payment date: 2023-09-06 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($93).

Total Amount

$109

General + Research + Ownership

Payments

2

Total payment records

General Amount

$109

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-06

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2010-01-06

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
I20100106000838IOptometryCATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 93286)

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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: 2466593918View full group profile
NameSpecialtyState
O P T O M E T R YCA

Reviews

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Frequently asked questions

Is there an official ID for COLLEEN ITO (O.D.) in U.S. healthcare records?
The official identifier for COLLEEN ITO (O.D.) is NPI 1144553207.
Is there an active status for COLLEEN ITO (O.D.)?
For scheduling context, COLLEEN ITO (O.D.) is shown as active in the registry.
What expertise is attributed to COLLEEN ITO (O.D.)?
COLLEEN ITO (O.D.)'s specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
Where in California is COLLEEN ITO (O.D.) registered?
Use Woodlake, California as the headline location for COLLEEN ITO (O.D.) here.
Does COLLEEN ITO (O.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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