DR. DEAN KENTON AMUNDSEN O.D.
NPI 1003021205
Optometrist in Camarillo, CA

Active since May 11, 2007PECOS EnrolledAccepts Medicare AssignmentCLIA 05D2170065 · Waiver
95.94/100
CMS Quality Rating
2460 N PONDEROSA DR, SUITE A-101, CAMARILLO, CA 93010(805) 482-1136(805) 388-8499 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Dean Kenton Amundsen O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DEAN KENTON AMUNDSEN O.D. (NPI 1003021205) is an individual optometrist in Camarillo, California, licensed in California (OPT 7925 TPA) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through July 31, 2027, and is a graduate of Southern California College Of Optometry (1984).

NPPES Registry Identity

NPI1003021205
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. DEAN KENTON AMUNDSENCredential: O.D.
Location Address2460 N PONDEROSA DR, SUITE A-101Camarillo, CA 93010-2398
Mailing Address2460 N Ponderosa Dr, Suite A-101Camarillo, CA 93010-2398 · (805) 482-1136 · Fax (805) 388-8499
Fax(805) 388-8499
Sole ProprietorNo
Medical School CMSSouthern California College Of OptometryGraduated 1984
Enumeration DateMay 11, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1003021205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in CA · OPT 7925 TPA
Definition
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.
2460 N PONDEROSA DR, Camarillo, CA 93010

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Dean Kenton Amundsen O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345144069
PECOS Enrollment IDI20031124000785
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2170065

Dean Amundsen, Od Prof Optometry Corp · Camarillo, CA
Active · expires Jul 31, 2027
CLIA Number05D2170065
Laboratory TypePhysician Office
Certificate Effective DateAugust 1, 2025
Certificate Expiration DateJuly 31, 2027
Laboratory DirectorDean K. Amundsen
Laboratory Phone(805) 482-1136
Laboratory LocationDean Amundsen, Od Prof Optometry Corp4000 Calle Tecate, Sutie 100, Camarillo, CA 93012
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 18

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
445 services293 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
382 services370 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
376 services364 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
312 services232 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
292 services215 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
215 services156 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93010 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$140.72 typical visit price
range $62.32 – $185.36
Typical copayment $35.18 (range $15.58 – $46.34)
Most-billed visit code 99204
Established Patient
$77.11 typical visit price
range $20.68 – $151.85
Typical copayment $19.27 (range $5.17 – $37.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality91.88
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
100%38 patients5/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
86%50 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%1,619 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
58%420 patients3/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 99% · 468 patients
99%468 patients
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
99%159 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 657 patients
Patients totalRate: 0% · 657 patients
0%657 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Podiatrist (Foot & Ankle Surgery)
2460 N PONDEROSA DR, STE A105
CAMARILLO, CA 93010
Podiatrist (Foot & Ankle Surgery)
2460 N PONDEROSA DR, A-105
CAMARILLO, CA 93010
Phlebology
2460 N PONDEROSA DR, SUTIE A101
CAMARILLO, CA 93010
Plastic Surgery
2460 N PONDEROSA DR, # A117
CAMARILLO, CA 93010
Social Worker (Clinical)
2460 N PONDEROSA DR, SUITE A-110
CAMARILLO, CA 93010
Physical Therapist
2460 N PONDEROSA DR, STE. A109
CAMARILLO, CA 93010
Plastic Surgery
2460 N PONDEROSA DR, SUITE A-117
CAMARILLO, CA 93010
Clinic/Center (Ambulatory Surgical)
2460 N PONDEROSA DR, A116
CAMARILLO, CA 93010

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dean Amundsen's NPI number?

The NPI number for Dean Amundsen is 1003021205. It was assigned to this individual provider in the NPPES registry on May 11, 2007.

Where is Dean Amundsen located?

Dean Amundsen practices at 2460 N Ponderosa Dr Suite A-101, Camarillo, CA 93010. The listed phone number is (805) 482-1136.

What is Dean Amundsen's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Dean Amundsen enrolled in Medicare?

Yes. Dean Amundsen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Does Dean Amundsen hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2170065) is associated with this NPI, valid through July 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dean Amundsen accept?

Health plans from Providence Health Plan list Dean Amundsen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dean Amundsen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.