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Active NPI 1952604357 Individual Practitioner Female Practitioner

Dr. Vivian Yen Iles , OD

Optometrist • Manteca, CA

Professional Overview & Biography Verified Profile Summary

Dr. Vivian Iles, OD is a registered healthcare professional specializing in Optometrist in Manteca, CA. Practice services are available at 302 NORTHGATE DR under active NPI credentials.

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

Practice Location & Contact Primary Location

Practice Address

302 Northgate Dr

Manteca, CA 953363139

Telephone 8666824842
Fax 2092395295
Associated Practice Facility / Clinic
🏢 Golden Valley Health Center Facility NPI 1477020121

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Manteca, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.5 Yrs
State Avg: 21.9 Yrs
Regional Practice Density
8 Specialists

Practicing in Manteca, CA (8588 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
28.9% 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
92004 New patient complete exam of visual system
35 35 $199.00 $176.87
92014 Established patient complete exam of visual system
33 33 $170.00 $149.03
92250 Photography of the retina
26 26 $150.00 $60.72
99213 Established patient office or other outpatient visit, typically 15 minutes
21 20 $129.00 $85.24
92012 Established patient problem focused exam of visual system
20 19 $139.00 $104.54
92133 Imaging of optic nerve
13 13 $85.00 $43.86

Medical Specialties & State Licenses

CMS Verified: 2021-08-19
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License CA 15424

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.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License CO 0003002

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.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License CA OPT15424-TLG

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

857 W Childs Ave

Merced, CA 953416862

Phone: 8666824842

2725 W Canyon Ave, Apt 138

San Diego, CA 921234722

Phone: 2096235024

Practice Associates & Co-Workers

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

40 Associated Practitioners
Malissa Hallahan

Nurse Practitioner

NPI 1003379207
Melisa Rotondi , FNP

Nurse Practitioner - Family

NPI 1003460460

Family Nurse Practitioner

Brandon Huber , PA-C

Physician Assistant

NPI 1073120382

Physician Assistant (Certified)

Emem Ukpabio , FNP

Nurse Practitioner

NPI 1093263493

Family Nurse Practitioner

NPI 1093282907

Doctor of Medicine (M.D.)

Jarrod Doering , PA-C

Physician Assistant

NPI 1114466679

Physician Assistant (Certified)

Career & Practice History Timeline

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

13 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 11, 2022

Optometrist (License #0003002 in CO)

📍
Updated Practice Location August 19, 2021

Registered at 302 NORTHGATE DR, MANTECA, CA 953363139 (Tel: 8666824842)

📍
Updated Business Mailing Address August 19, 2021

Registered at 737 W CHILDS AVE, MERCED, CA 953416805 (Tel: 2093846493)

👤
Provider Name / Credentials Updated August 19, 2021

Recorded as VIVIAN ILES, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 19, 2021

Student in an Organized Health Care Education/Training Program

📍
Updated Practice Location April 16, 2019

Registered at 302 NORTHGATE DR, MANTECA, CA 95336 (Tel: 2092395299)

📍
Updated Business Mailing Address April 16, 2019

Registered at 1910 CUSTOMER CARE WAY, ATWATER, CA 953015167 (Tel: 2093846493)

NPI Profile Active July 26, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location July 26, 2015

Registered at 2725 W CANYON AVE, APT 138, SAN DIEGO, CA 921234722 (Tel: 2096235024)

📍
Updated Business Mailing Address July 26, 2015

Registered at 2725 W CANYON AVE, APT 138, SAN DIEGO, CA 921234722 (Tel: 2096235024)

👤
Provider Name / Credentials Updated July 26, 2015

Recorded as VIVIAN DIEP, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 26, 2015

Optometrist (License #0003002 in CO)

🟢
Initial NPI Registration & Enumeration December 08, 2010

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: 1952604357
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 08, 2010
Last Update: February 11, 2022
Sole Proprietor: Yes

Mailing Address

737 W Childs Ave

Merced, CA 953416805

Phone: 2093846493

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.