ERIC JAMES POULSEN M.D.
NPI 1003819301
Ophthalmology in Fresno, CA

Active since May 31, 2005PECOS EnrolledAccepts Medicare Assignment
1360 E HERNDON AVE, STE 201, FRESNO, CA 93720(559) 449-5050(559) 432-2632 Get Directions Write a Review

NPPES record last updated: October 8, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eric James Poulsen M.d. NPPES

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

ERIC JAMES POULSEN M.D. (NPI 1003819301) is an individual ophthalmology provider in Fresno, California, licensed in California (A71284) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1003819301
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameERIC JAMES POULSENCredential: M.D.
Location Address1360 E HERNDON AVE, STE 201Fresno, CA 93720-3326
Mailing Address1360 E Herndon Ave, Ste 201Fresno, CA 93720-3326 · (559) 449-5050 · Fax (559) 432-2632
Fax(559) 432-2632
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateMay 31, 2005
Last NPPES UpdateOctober 8, 2014
NPI 1003819301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in CA · A71284
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1360 E HERNDON AVE, Fresno, CA 93720

Other Identifiers 4

Medicare NSC0218070001CA
Medicare UPINH16451CA
Medicare PIN00A712840CA
Medicaid00A712840CA

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

Eric James Poulsen M.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 ID1355249707
PECOS Enrollment IDI20090204000165
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.

Areas of Expertise CMS Part B claims 20

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
665 services444 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.
562 services557 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.
351 services313 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
315 services217 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
246 services238 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
113 services113 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93720 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier43 claims43 services$69.23 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier24 claims43 services$49.21 avg. paid by Medicare
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier14 claims27 services$58.46 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Ophthalmology
1360 E HERNDON AVE, SUITE 401
FRESNO, CA 93720
Optometrist
1360 E HERNDON AVE, SUITE 401
FRESNO, CA 93720
Optometrist
1360 E HERNDON AVE, SUITE 201
FRESNO, CA 93720
Ophthalmology
1360 E HERNDON AVE, STE 201
FRESNO, CA 93720
Optometrist
1360 E HERNDON AVE, SUITE 301
FRESNO, CA 93720
Ophthalmology
1360 E HERNDON AVE, SUITE 401
FRESNO, CA 93720
Ophthalmology
1360 E HERNDON AVE, SUITE 301
FRESNO, CA 93720
Optometrist
1360 E HERNDON AVE, SUITE 201
FRESNO, CA 93720

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 Eric Poulsen's NPI number?

The NPI number for Eric Poulsen is 1003819301. It was assigned to this individual provider in the NPPES registry on May 31, 2005.

Where is Eric Poulsen located?

Eric Poulsen practices at 1360 E Herndon Ave Ste 201, Fresno, CA 93720. The listed phone number is (559) 449-5050.

What is Eric Poulsen's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Eric Poulsen enrolled in Medicare?

Yes. Eric Poulsen 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.

What insurance does Eric Poulsen accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Eric Poulsen 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 Eric Poulsen was last updated on October 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.