DR. SIMON CHO (O.D.) – Optometrist, NPI 1720311632

DR. SIMON CHO (O.D.) is a healthcare provider. based in City of industry, California. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 13790 (CA). The NPI Number for DR. SIMON CHO (O.D.) is 1720311632

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. SIMON CHO (O.D.)
NPI
1720311632
Phone
(626) 854-1166
Address
17150 GALE AVE
Enumeration Date
9 September 2009
Last Update Date
6 December 2021

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
5624613000
Graduation Year
2009 (17 years ago)
PAC ID
5799824900
Group Practice PAC ID
6002729175
Professional Enrollment ID
I20091201000639
Address ID
CA907062246BE9400XAVEX300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:16State licenses:1Other namesUpdated within 12 months

3,909 OPTOMETRY in CA

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Provider Addresses for DR. SIMON CHO (O.D.)

  • Walmart Supercenter, 17150, Gale Avenue, Rowland, Industry, Los Angeles County, California, 91745, United States

    CITY OF INDUSTRY, CA 917451809

    Phone: (626) 854-1166

    Type: Location

  • 731 FAIRVIEW AVE APT 7

    ARCADIA, CA 910076697

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $375.

Total Amount is formed as General ($375) + Research ($0) + Ownership ($0) = $375.

Last reported payment date: 2024-03-13 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($250).

Total Amount

$375

General + Research + Ownership

Payments

3

Total payment records

General Amount

$375

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-13

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: 2009-12-01

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
I20091201000639IOptometryCATBD

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 91745)

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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: 6002729175View full group profile
NameSpecialtyState
U R O L O G YOH
Nurse PractitionerCA
Internal MedicineCA
Internal MedicineCA
Internal Medicine, GastroenterologyCA
Physician AssistantCA
Emergency MedicineNC
O P H T H A L M O L O G YCA
Anesthesiology, Pain ManagementNH
Family Practice, Sports MedicineCA

Reviews

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Frequently asked questions

Can I use this page to confirm DR. SIMON CHO (O.D.)'s NPI?
Yes. DR. SIMON CHO (O.D.) is listed with NPI 1720311632 in the public NPI dataset.
Can I rely on DR. SIMON CHO (O.D.) being an active provider?
As of the registry snapshot, DR. SIMON CHO (O.D.) is marked active.
What taxonomy line describes DR. SIMON CHO (O.D.)?
For research purposes, treat DR. SIMON CHO (O.D.) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect DR. SIMON CHO (O.D.) on a map?
Expect City Of Industry, California as a primary anchor for DR. SIMON CHO (O.D.) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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