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Active NPI 1689170664 Individual Practitioner Female Practitioner

Dr. Lisa Van , OD

Optometrist • Newport Beach, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Lisa Van, OD is a certified Optometrist practicing in Newport Beach, CA. With approximately 8 years of clinical experience since graduating from Southern California College Of Optometry in 2018, Dr. Van delivers high-quality medical care to the local community at 4220 VON KARMAN AVE STE 100.

Dr. Van maintains professional affiliations with Southern California Permanente Medical Group, Thomas S Tooma M D A Professional Corporation, Clarity Eye Group and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

4220 Von Karman Ave Ste 100

Newport Beach, CA 926602056

Telephone 9494316344
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Southern California College Of Optometry

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Newport Beach, CA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -4.7 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
72.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Van (8 Years) 8 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
99213 Established patient office or other outpatient visit, typically 15 minutes
64 53 $398.44 $98.60
92250 Photography of the retina
51 50 $125.00 $40.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
42 42 $564.00 $138.56
92134 Imaging of retina
12 12 $75.00 $44.81

Medical Specialties & State Licenses

CMS Verified: 2020-03-16
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License CA 34027TLG

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 NA

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

Thomas S Tooma M D A Professional Corporation

4220 Von Karman Ave, Newport Beach, CA 926602056

Phone: 9498547400

Clarity Eye Group

19671 Beach Blvd, Huntington Beach, CA 926485930

Phone: 7148420651

Southern California Permanente Medical Group

23781 Maquina, Mission Viejo, CA 926912716

Phone: 8889882800

Secondary Practice Locations

27800 Medical Center Rd Ste 130

Mission Viejo, CA 926916407

Phone: 9493640225

11301 Wilshire Blvd, Eye Clinic (123) Building 304

Los Angeles, CA 900731003

Phone: 3104783711

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1679251102

Doctor of Optometry

NPI 1871615328

Doctor of Optometry

Career & Practice History Timeline

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

14 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 27, 2023

Optometrist (License #34027TLG in CA)

📍
Updated Practice Location March 16, 2020

Registered at 4220 VON KARMAN AVE STE 100, NEWPORT BEACH, CA 926602056 (Tel: 9494316344)

📍
Updated Business Mailing Address March 16, 2020

Registered at 4220 VON KARMAN AVE STE 100, NEWPORT BEACH, CA 926602056

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2020

Optometrist (License #NA in CA)

📍
Updated Practice Location November 12, 2019

Registered at 27800 MEDICAL CENTER RD STE 130, MISSION VIEJO, CA 926916407 (Tel: 9493640225)

📍
Updated Business Mailing Address November 12, 2019

Registered at 27800 MEDICAL CENTER RD STE 130, MISSION VIEJO, CA 926916407 (Tel: 9493640225)

👤
Provider Name / Credentials Updated November 12, 2019

Recorded as LISA VAN, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 12, 2019

Optometrist (License #34027TLG in CA)

NPI Profile Active March 30, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location March 30, 2018

Registered at 11301 WILSHIRE BLVD., EYE CLINIC (123) BUILDING 304, LOS ANGELES, CA 90073 (Tel: 3104783711)

📍
Updated Business Mailing Address March 30, 2018

Registered at 18961 CLEARVIEW LN, HUNTINGTON BEACH, CA 926486721 (Tel: 7142722794)

👤
Provider Name / Credentials Updated March 30, 2018

Recorded as LISA VAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 30, 2018

Optometrist (License #NA in CA)

🟢
Initial NPI Registration & Enumeration March 30, 2018

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: 1689170664
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 30, 2018
Last Update: October 27, 2023
Sole Proprietor: No

Mailing Address

4220 Von Karman Ave Ste 100

Newport Beach, CA 926602056

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.