Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1821069311 Individual Practitioner Male Practitioner

Dr. Keith A Simon , OD

Optometrist • Venice, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Keith Simon, OD is a certified Optometrist practicing in Venice, CA. With approximately 31 years of clinical experience since completing medical education in 1995, Dr. Simon delivers high-quality medical care to the local community at 604 ROSE AVE.

Dr. Simon is affiliated with Venice Family Clinic and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

604 Rose Ave
Venice Family Clinic/optometry Dept.

Venice, CA 902912767

Telephone 3103928636
Associated Practice Facility / Clinic
🏢 Venice Family Clinic Facility NPI 1669418513

Medicare Profile & Education

Medical School

Other

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Venice, CA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
31 Yrs Matches City Avg
City Avg: 31.0 Yrs
State Avg: 21.9 Yrs
Regional Practice Density
1 Specialists

Practicing in Venice, CA (8588 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Simon (31 Years) 31 Yrs
Venice Specialty Average (31.0 Years) 31.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2021-02-18
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License CA 10592 TPG

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

Venice Family Clinic

604 Rose Ave, Venice, CA 902912767

Phone: 3106647758

Venice Family Clinic

604 Rose Ave, Venice, CA 902912767

Phone: 3106647901

Practice Associates & Co-Workers

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

40 Associated Practitioners
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Doctor of Dental Surgery

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Family Medicine - Addiction Medicine

NPI 1033596143

Doctor of Medicine (M.D.)

Tiffani Parks

Social Worker

NPI 1033888334
Lisa Moore

Family Medicine

NPI 1063827343
Dr. Reina Amiling , MD

Family Medicine

NPI 1073138020

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active March 03, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 03, 2017

Registered at 604 ROSE AVE, VENICE FAMILY CLINIC/OPTOMETRY DEPT., VENICE, CA 902912767 (Tel: 8186052716)

📍
Updated Business Mailing Address March 03, 2017

Registered at PO BOX 57624, SHERMAN OAKS, CA 914132624

👤
Provider Name / Credentials Updated March 03, 2017

Recorded as KEITH SIMON, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2017

Optometrist (License #10592 TPG in CA)

NPI Profile Active September 13, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location September 13, 2015

Registered at 9846 WHITE OAK AVE, #205, NORTHRIDGE, CA 913254806 (Tel: 8186052716)

📍
Updated Business Mailing Address September 13, 2015

Registered at PO BOX 57624, SHERMAN OAKS, CA 914132624

👤
Provider Name / Credentials Updated September 13, 2015

Recorded as KEITH SIMON, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2015

Optometrist (License #10592 TPA in CA)

🟢
Initial NPI Registration & Enumeration February 01, 2006

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: 1821069311
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 01, 2006
Last Update: February 18, 2021
Sole Proprietor: Yes

Mailing Address

Po Box 57624

Sherman Oaks, CA 914132624

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.