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Active NPI 1073139291 Individual Practitioner Female Practitioner

Dr. Bonnie Lauren Samuelson , OD

Optometrist • Newport Beach, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Bonnie Samuelson, OD is a certified Optometrist practicing in Newport Beach, CA. With approximately 11 years of clinical experience since graduating from Stanford University School Of Medicine in 2015, Dr. Samuelson delivers high-quality medical care to the local community at 21161 NEWPORT COAST DR.

Dr. Samuelson maintains professional affiliations with Nusite Optometry, David B Rosenblum O D Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient outpatient office visit, 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

21161 Newport Coast Dr

Newport Beach, CA 926571123

Telephone 9496404733
Fax 9492870186
Associated Practice Facility / Clinic
🏢 Nusite Optometry Facility NPI 1396636932

Medicare Profile & Education

Medical School

Stanford University School Of Medicine

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Newport Beach, CA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
11 Yrs -1.7 yrs vs City Avg
City Avg: 12.7 Yrs
State Avg: 21.9 Yrs
Regional Practice Density
39 Specialists

Practicing in Newport Beach, CA (8588 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
24.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Samuelson (11 Years) 11 Yrs
Newport Beach Specialty Average (12.7 Years) 12.7 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
92014 Established patient complete exam of visual system
47 47 $173.02 $139.58
99213 Established patient office or other outpatient visit, typically 15 minutes
21 15 $140.86 $98.45

Medical Specialties & State Licenses

CMS Verified: 2020-06-23
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License CA 34540

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.

Hospital & Practice Group Affiliations

Nusite Optometry

1201 N Rose Dr, Placentia, CA 928703939

Phone: 7145282566

David B Rosenblum O D Inc

11805 S St, Cerritos, CA 907036825

Phone: 5628604475

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 23, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location June 23, 2020

Registered at 21161 NEWPORT COAST DR, NEWPORT BEACH, CA 926571123 (Tel: 9496404733)

📍
Updated Business Mailing Address June 23, 2020

Registered at 9862 KINGS CANYON DR, HUNTINGTON BEACH, CA 926464829 (Tel: 7147459312)

👤
Provider Name / Credentials Updated June 23, 2020

Recorded as BONNIE SAMUELSON, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2020

Optometrist (License #34540 in CA)

🟢
Initial NPI Registration & Enumeration June 23, 2020

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: 1073139291
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 23, 2020
Last Update: June 23, 2020
Sole Proprietor: Yes

Mailing Address

9862 Kings Canyon Dr

Huntington Beach, CA 926464829

Phone: 7147459312

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.