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Active NPI 1730163494 Individual Practitioner Female Practitioner

Dr. Dipa Kodukula , OD

Optometrist • Cedar Park, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Dipa Kodukula, OD is a certified Optometrist practicing in Cedar Park, TX. With approximately 21 years of clinical experience since graduating from University Of Houston - College Of Optometry in 2005, Dr. Kodukula delivers high-quality medical care to the local community at 3419 EL SALIDO PKWY.

Dr. Kodukula is affiliated with Lakeline Vision, P.C. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, imaging of optic nerve, measurement of corneal pressure. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3419 El Salido Pkwy
Ste 100

Cedar Park, TX 786135639

Telephone 5129183937
Fax 5129182028
Associated Practice Facility / Clinic
🏢 Lakeline Vision, P.c. Facility NPI 1265489777

Medicare Profile & Education

Medical School

University Of Houston - College Of Optometry

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Cedar Park, TX

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
21 Yrs +4.2 yrs vs City Avg
City Avg: 16.8 Yrs
State Avg: 19.5 Yrs
Regional Practice Density
43 Specialists

Practicing in Cedar Park, TX (5156 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
41.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kodukula (21 Years) 21 Yrs
Cedar Park Specialty Average (16.8 Years) 16.8 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
69 69 $168.00 $119.25
92133 Imaging of optic nerve
41 40 $68.00 $34.31
92145 Measurement of corneal pressure
32 31 $39.22 $10.86
92134 Imaging of retina
15 14 $68.00 $38.06

Medical Specialties & State Licenses

CMS Verified: 2022-07-18
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License TX 6753TG

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Optometry
6753TG (TX)

Hospital & Practice Group Affiliations

Lakeline Vision, P.c.

3419 El Salido Pkwy, Cedar Park, TX 786135639

Phone: 5129183937

Practice Associates & Co-Workers

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

9 Associated Practitioners
NPI 1023793767

Doctor of Optometry

NPI 1205322351

Doctor of Optometry

NPI 1447207949

Doctor of Optometry

NPI 1467716613

Doctor of Optometry

NPI 1528589017

Doctor of Optometry

NPI 1679011993

Doctor of Optometry

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Business Mailing Address July 18, 2022

Registered at 3419 EL SALIDO PKWY STE 100, CEDAR PARK, TX 786135639 (Tel: 5129183937)

📍
Updated Practice Location April 26, 2019

Registered at 3419 EL SALIDO PKWY, STE 100, CEDAR PARK, TX 786135639 (Tel: 5129183937)

NPI Profile Active November 25, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 25, 2016

Registered at 3419 EL SALIDO PKWY STE 100, CEDAR PARK, TX 786135634 (Tel: 5129183937)

📍
Updated Business Mailing Address November 25, 2016

Registered at 3419 EL SALIDO PKWY STE 100, CEDAR PARK, TX 786135634 (Tel: 5129183937)

👤
Provider Name / Credentials Updated November 25, 2016

Recorded as DIPA KODUKULA, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 25, 2016

Optometrist (License #6753TG in TX)

🟢
Initial NPI Registration & Enumeration December 05, 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: 1730163494
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 05, 2005
Last Update: March 07, 2023
Sole Proprietor: No

Mailing Address

3419 El Salido Pkwy Ste 100

Cedar Park, TX 786135639

Phone: 5129183937

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.