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Active NPI 1457311128 Individual Practitioner Male Practitioner

Dr. J Michael Vidal , OD

Optometrist • La Mesa, CA

Professional Overview & Biography Verified Profile Summary

Dr. J Michael Vidal, OD is a registered healthcare professional specializing in Optometrist in La Mesa, CA. Practice services are available at 7090 PARKWAY DR under active NPI credentials.

Frequently performed procedures and clinical services include established patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7090 Parkway Dr

La Mesa, CA 919421596

Telephone 6194602020
Fax 6194622020
Associated Practice Facility / Clinic
🏢 J. Michael Vidal, Od Inc Facility NPI 1396071296

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in La Mesa, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 32.0 Yrs
State Avg: 21.9 Yrs
Regional Practice Density
23 Specialists

Practicing in La Mesa, CA (8588 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
12.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
14 14 $147.07 $128.84

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License CA CA61320

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
SD0061320 (CA)

Practice Associates & Co-Workers

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

4 Associated Practitioners
Dr. Claire Collord Johnson , AuD

Audiologist-Hearing Aid Fitter

NPI 1225477938

Doctor of Audiology

Mona Dunahoe

Hearing Instrument Specialist

NPI 1467678268
NPI 1659331320

Doctor of Optometry

NPI 1679628234

Doctor of Optometry

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 11, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location February 11, 2014

Registered at 7090 PARKWAY DR, LA MESA, CA 919421596 (Tel: 6194602020)

📍
Updated Business Mailing Address February 11, 2014

Registered at 7090 PARKWAY DR, LA MESA, CA 919421596 (Tel: 6194602020)

👤
Provider Name / Credentials Updated February 11, 2014

Recorded as J MICHAEL VIDAL, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 11, 2014

Optometrist (License #CA61320 in CA)

🟢
Initial NPI Registration & Enumeration March 25, 2006

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: 1457311128
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 25, 2006
Last Update: February 11, 2014
Sole Proprietor: Yes

Mailing Address

7090 Parkway Dr

La Mesa, CA 919421596

Phone: 6194602020

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.