Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1629072533 Individual Practitioner Female Practitioner

Dr. Lisa Valentine Keltner , OD

Optometrist • Riverside, CA

Professional Overview & Biography Verified Profile Summary

Dr. Lisa Keltner, OD is a registered healthcare professional specializing in Optometrist in Riverside, CA. Practice services are available at 4515 CENTRAL AVE STE 101 under active NPI credentials.

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

4515 Central Ave Ste 101

Riverside, CA 925062374

Telephone 9517842420
Fax 9517844713
Associated Practice Facility / Clinic
🏢 Sandra Davidson, O.d. Inc. Facility NPI 1700041043

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Riverside, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.5 Yrs
State Avg: 21.9 Yrs
Regional Practice Density
81 Specialists

Practicing in Riverside, CA (8588 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
11.6% 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 (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
19 18 $215.00 $190.15

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License CA 08887TLG

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 AZ 721

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 UT 113376-9934

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 - Low Vision Rehabilitation

NUCC Taxonomy Code: 152WL0500X

State License CA 08887TLG

Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
SD0088870 (CA)

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1164427282

Doctor of Optometry

NPI 1639241789

Doctor of Optometry

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active February 22, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location February 22, 2018

Registered at 4515 CENTRAL AVE STE 101, RIVERSIDE, CA 925062374 (Tel: 9517842420)

📍
Updated Business Mailing Address February 22, 2018

Registered at 4515 CENTRAL AVE STE 101, RIVERSIDE, CA 925062374 (Tel: 9517842420)

👤
Provider Name / Credentials Updated February 22, 2018

Recorded as LISA KELTNER, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 22, 2018

Optometrist (License #721 in AZ)

NPI Profile Active July 03, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location July 03, 2012

Registered at 718 N. DIAMOND BAR BLVD, DIAMOND BAR, CA 917654122 (Tel: 9098613737)

📍
Updated Business Mailing Address July 03, 2012

Registered at 718 N. DIAMOND BAR BLVD, DIAMOND BAR, CA 917654122 (Tel: 9098613737)

👤
Provider Name / Credentials Updated July 03, 2012

Recorded as LISA KELTNER, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 03, 2012

Optometrist (License #OPT8887TPL in CA)

🟢
Initial NPI Registration & Enumeration June 08, 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: 1629072533
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 08, 2005
Last Update: March 07, 2023
Sole Proprietor: No

Mailing Address

4515 Central Ave Ste 101

Riverside, CA 925062374

Phone: 9517842420

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.