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Active NPI 1346221512 Individual Practitioner Male Practitioner

Dr. Peter V Hetzner , OD

Optometrist • Lodi, CA

Professional Overview & Biography Verified Profile Summary

Dr. Peter Hetzner, OD is a registered healthcare professional specializing in Optometrist in Lodi, CA. Practice services are available at 421 S HAM LN under active NPI credentials.

Frequently performed procedures and clinical services include established patient complete exam of visual system, new 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

421 S Ham Ln
Ste B

Lodi, CA 952423523

Telephone 2093685352
Fax 2093685355
Associated Practice Facility / Clinic
🏢 Peter V. Hetzner, O.d. Facility NPI 1487730172

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Lodi, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 33.4 Yrs
State Avg: 21.9 Yrs
Regional Practice Density
12 Specialists

Practicing in Lodi, CA (8588 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
1.1% 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 (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
15 15 $135.00 $133.53

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License CA 5692TPA

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
SD0056920 (CA)
Commercial Insurance / Payer ID Blue Shield
ZZZ28009Z (CA)
Commercial Insurance / Payer ID Cigna Medicare
0622870001 (CA)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 01, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location March 01, 2013

Registered at 421 S HAM LN, STE B, LODI, CA 952423523 (Tel: 2093685352)

📍
Updated Business Mailing Address March 01, 2013

Registered at 421 S HAM LN, STE B, LODI, CA 952423523 (Tel: 2093685352)

👤
Provider Name / Credentials Updated March 01, 2013

Recorded as PETER HETZNER, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 01, 2013

Optometrist (License #5692TPA in CA)

🟢
Initial NPI Registration & Enumeration November 07, 2005

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: 1346221512
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 07, 2005
Last Update: March 01, 2013
Sole Proprietor: Yes

Mailing Address

421 S Ham Ln, Ste B

Lodi, CA 952423523

Phone: 2093685352

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.