Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1831851120 Individual Practitioner Female Practitioner

Dr. Visaka Dianna Inthavong , OD

Optometrist • Clovis, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Visaka Inthavong, OD is a certified Optometrist practicing in Clovis, CA. With approximately 5 years of clinical experience since completing medical education in 2021, Dr. Inthavong delivers high-quality medical care to the local community at 305 POLLASKY AVE.

Dr. Inthavong accepts Medicare assignment.

Frequently performed procedures and clinical services include photography of the retina, established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

305 Pollasky Ave

Clovis, CA 936121139

Telephone 5592982120
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Clovis, CA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -12.6 yrs vs City Avg
City Avg: 17.6 Yrs
State Avg: 21.9 Yrs
Regional Practice Density
11 Specialists

Practicing in Clovis, CA (8588 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
17.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Inthavong (5 Years) 5 Yrs
Clovis Specialty Average (17.6 Years) 17.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92250 Photography of the retina
72 68 $85.00 $38.34
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
18 18 $207.00 $182.62
99213 Established patient office or other outpatient visit, typically 15 minutes
16 16 $101.00 $92.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
15 15 $168.00 $130.47
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
11 11 $245.00 $222.05

Medical Specialties & State Licenses

CMS Verified: 2024-08-13
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License CA 35045

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1215929831

Doctor of Optometry

NPI 1871519710

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location August 13, 2024

Registered at 305 POLLASKY AVE, CLOVIS, CA 936121139 (Tel: 5592982120)

📍
Updated Business Mailing Address August 13, 2024

Registered at 305 POLLASKY AVE, CLOVIS, CA 936121139 (Tel: 5592982120)

NPI Profile Active October 13, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location October 13, 2021

Registered at 145 N CLOVIS AVE STE 101, CLOVIS, CA 936120361 (Tel: 5592982120)

📍
Updated Business Mailing Address October 13, 2021

Registered at 145 N CLOVIS AVE STE 101, CLOVIS, CA 936120361 (Tel: 5592982120)

👤
Provider Name / Credentials Updated October 13, 2021

Recorded as VISAKA INTHAVONG, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 13, 2021

Optometrist (License #35045 in CA)

🟢
Initial NPI Registration & Enumeration October 13, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1831851120
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 13, 2021
Last Update: August 13, 2024
Sole Proprietor: No

Mailing Address

305 Pollasky Ave

Clovis, CA 936121139

Phone: 5592982120

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.