Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1982191110 Individual Practitioner Male Practitioner

Dr. Kenneth Francis Van , OD

Optometrist • Simi Valley, CA

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Van, OD is a certified Optometrist practicing in Simi Valley, CA. With approximately 9 years of clinical experience since graduating from Western University Of Health Sciences College Of Dental Med in 2017, Dr. Van delivers high-quality medical care to the local community at 5729 NUTWOOD CIR.

Dr. Van is affiliated with Fourth Optometric Care Of California and does not directly accept Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

5729 Nutwood Cir

Simi Valley, CA 930633566

Telephone 8055873693

Medicare Profile & Education

Medical School

Western University Of Health Sciences College Of Dental Med

Graduation Year

2017

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Simi Valley, CA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs -15.0 yrs vs City Avg
City Avg: 24.0 Yrs
State Avg: 21.9 Yrs
Regional Practice Density
23 Specialists

Practicing in Simi Valley, CA (8588 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
14.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Van (9 Years) 9 Yrs
Simi Valley Specialty Average (24.0 Years) 24.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
13 13 $63.00 $53.98

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License CA 33905TLG

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

Fourth Optometric Care Of California

20929 Ventura Blvd, Woodland Hills, CA 913643352

Phone: 8188834303

Practice Associates & Co-Workers

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

2 Associated Practitioners
Kevin Van

Student in an Organized Health Care Education/Training Program

NPI 1275929515
NPI 1336712074

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 13, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location April 13, 2018

Registered at 5729 NUTWOOD CIR, SIMI VALLEY, CA 930633566 (Tel: 8055873693)

📍
Updated Business Mailing Address April 13, 2018

Registered at 5729 NUTWOOD CIR, SIMI VALLEY, CA 930633566

👤
Provider Name / Credentials Updated April 13, 2018

Recorded as KENNETH VAN, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 13, 2018

Optometrist (License #33905TLG in CA)

🟢
Initial NPI Registration & Enumeration April 13, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Kenneth Van. Be the first to share your experience!

Sign in to leave a review for Dr. Kenneth Van

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1982191110
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 13, 2018
Last Update: April 13, 2018
Sole Proprietor: Yes

Mailing Address

5729 Nutwood Cir

Simi Valley, CA 930633566

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.