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DR. BONNIE LAUREN SAMUELSON OD
NPI 1073139291
Optometrist in Newport Beach, CA

Active since June 23, 2020PECOS EnrolledAccepts Medicare Assignment
21161 NEWPORT COAST DR, NEWPORT BEACH, CA 92657(949) 640-4733(949) 287-0186 Get Directions Write a Review

NPPES record last updated: June 23, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Bonnie Lauren Samuelson Od NPPES

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

DR. BONNIE LAUREN SAMUELSON OD (NPI 1073139291) is an individual optometrist in Newport Beach, California, licensed in California (34540) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and is a graduate of Stanford University School Of Medicine (2015).

NPPES Registry Identity

NPI1073139291
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. BONNIE LAUREN SAMUELSONCredential: OD
Location Address21161 NEWPORT COAST DRNewport Beach, CA 92657-1123
Mailing Address9862 Kings Canyon DrHuntington Beach, CA 92646-4829 · (714) 745-9312
Phone(949) 640-4733
Fax(949) 287-0186
Sole ProprietorYes
Medical School CMSStanford University School Of MedicineGraduated 2015
Enumeration DateJune 23, 2020
NPPES CertifiedJune 23, 2020
✔ NPI 1073139291 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 · 34540
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.
21161 NEWPORT COAST DR, Newport Beach, CA 92657
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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. Bonnie Lauren Samuelson Od 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 ID8820414337
PECOS Enrollment IDI20200814000598
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 2

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 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.
47 services47 patients
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.
21 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92657 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

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 Bonnie Samuelson's NPI number?

The NPI number for Bonnie Samuelson is 1073139291. It was assigned to this individual provider in the NPPES registry on June 23, 2020.

Where is Bonnie Samuelson located?

Bonnie Samuelson practices at 21161 Newport Coast Dr, Newport Beach, CA 92657. The listed phone number is (949) 640-4733.

What is Bonnie Samuelson's specialty?

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

Is Bonnie Samuelson enrolled in Medicare?

Yes. Bonnie Samuelson 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 Bonnie Samuelson 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 Bonnie Samuelson 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 Bonnie Samuelson was last updated on June 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.