PRATIMA GAUTAM OD
NPI 1114658267
Optometrist in Oxnard, CA

Q: What is Pratima Gautam's NPI number?

The NPI number for Pratima Gautam is 1114658267. It was assigned to this individual provider in the NPPES registry on June 20, 2022.

Q: What is Pratima Gautam's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Pratima Gautam was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.

Active since June 20, 2022PECOS EnrolledAccepts Medicare Assignment

801 COOPER RD, OXNARD, CA 93030(805) 330-8100(805) 240-7383 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Pratima Gautam Od NPPES

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

PRATIMA GAUTAM OD (NPI 1114658267) is an individual optometrist in Oxnard, California, licensed in California (OPT35439) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of New England College Of Optometry (2022).

NPPES Registry Identity

NPI1114658267

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NamePRATIMA GAUTAMCredential: OD

Location Address801 COOPER RDOxnard, CA 93030-5445

Mailing Address1040 Flynn RdCamarillo, CA 93012-5092 · (805) 673-3930 · Fax (805) 659-3217

Phone(805) 330-8100

Fax(805) 240-7383

Sole ProprietorNo

Medical School CMSNew England College Of OptometryGraduated 2022

Enumeration DateJune 20, 2022

Last NPPES UpdateApril 17, 2025

NPPES CertifiedApril 17, 2025

✔ NPI 1114658267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Licenses✔ Licensed in CA · OPT35439✔ Licensed in CA · TLG35439

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.

801 COOPER RD, Oxnard, CA 93030

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Secondary Practice Location 1

Location 11300 N Vermont Ave Ste 101Los Angeles, CA 90027-6098 · Phone (323) 906-6048 · Fax (323) 644-4442

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

Pratima Gautam 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 ID8527428671

PECOS Enrollment IDI20230720002024

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

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 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.

17 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93030 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.

Other Providers at the Same Location NPPES 13

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

STEVEN PIPER PA

Physician Assistant