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Dr. John Ilsun Ryu , OD

Optometrist β€’ Simi Valley, CA

Active NPI 1609946847 Individual Practitioner Male Practitioner
Practice location in NPPES

690 E Los Angeles Ave, Suite A
Simi Valley, CA 930651857

Call 6263763513 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

690 E Los Angeles Ave
Suite A

Simi Valley, CA 930651857

Telephone 6263763513
Fax 9052501001
Organization at the Same NPPES Address or Phone
Summit Optometric Eyecare Facility NPI 1053757039

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Open Payments general payments, program year 2019

All general payments: $136.63 across 3 records.

By nature of payment

  • Entertainment: $94.15 across 1 record.
  • Food and Beverage: $42.48 across 2 records.

Reporting-company totals

  • OPTOS, INC.: $94.15 across 1 record.
  • Alcon Vision LLC: $31.85 across 1 record.
  • ABB Con-Cise Optical Group LLC: $10.63 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2019 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Ryu has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Ryu as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Simi Valley and California

22 active clinicians are listed under Optometrist with a practice address in Simi Valley, CA (8,312 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Simi Valley

0% of these 22 clinicians have the CMS telehealth indicator.

45.5% of these 22 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2019), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2019

Program year 2019 (payments made January 1 – December 31, 2019): fewer than 11 records totaling $136.63.

Manufacturer Payment Nature Product Type Amount ($)
OPTOS, INC.
Entertainment
Cash or cash equivalent
P200DTx General $94.15
Alcon Vision LLC
Food and Beverage
In-kind items and services
ReSTOR General $31.85
ABB Con-Cise Optical Group LLC
Food and Beverage
Cash or cash equivalent
Contact Lens General $10.63

Source: CMS Open Payments, program year 2019, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-07-15
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

License # reported to NPPES CA 11209T

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - OPTOMETRY

Medicare Enrollment ID

I20040625000951

Enrollment State Jurisdiction

CA

PECOS Control ID

1557347002

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Business Mailing Address July 15, 2024

Registered at 1194 KNOTTINGHAM ST, SIMI VALLEY, CA 930655167 (Tel: 6263763513)

βœ…
NPI Profile Active August 05, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 05, 2013

Registered at 690 E LOS ANGELES AVE, SUITE A, SIMI VALLEY, CA 930651857 (Tel: 6263763513)

πŸ“
Business Mailing Address (Initial Record) August 05, 2013

Registered at 556 E PALM AVE, UNIT 303, BURBANK, CA 915012192 (Tel: 6263763513)

πŸ‘€
Provider Name / Credentials (Initial Record) August 05, 2013

Recorded as JOHN RYU, O.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2013

Optometrist (license number reported to NPPES: CA 11209T)

🟒
Initial NPI Registration & Enumeration November 08, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1609946847
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 08, 2006
Last Update: July 15, 2024
Sole Proprietor: Yes

Other Optometrists in Simi Valley

All Optometrists in Simi Valley

Mailing Address

1194 Knottingham St

Simi Valley, CA 930655167

Phone: 6263763513

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.