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CHANTELLE VERDUZCO DAVIS OD
NPI 1235615014
Optometrist in San Diego, CA

Active since July 16, 2018PECOS EnrolledAccepts Medicare Assignment
3404 ADAMS AVE, SAN DIEGO, CA 92116(619) 431-5393(619) 431-5393 Get Directions Write a Review

NPPES record last updated: May 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 2, 2024, Jul 16, 2018 (2 updates tracked since 2018).

About Chantelle Verduzco Davis Od NPPES

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

CHANTELLE VERDUZCO DAVIS OD (NPI 1235615014) is an individual optometrist in San Diego, California, licensed in California (34150TLG) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (2018).

NPPES Registry Identity

NPI1235615014
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameCHANTELLE VERDUZCO DAVISCredential: OD
Location Address3404 ADAMS AVESan Diego, CA 92116-2428
Mailing Address3404 Adams AveSan Diego, CA 92116-2428 · (619) 431-5393 · Fax (619) 431-5393
Phone(619) 431-5393
Fax(619) 431-5393
Sole ProprietorNo
Medical School CMSNew England College Of OptometryGraduated 2018
Enumeration DateJuly 16, 2018
Last NPPES UpdateMay 2, 20242 updates tracked since enumeration
NPPES CertifiedMay 2, 2024
✔ NPI 1235615014 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 · 34150TLG
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.
3404 ADAMS AVE, San Diego, CA 92116
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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

Chantelle Verduzco Davis 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 ID7012300650
PECOS Enrollment IDI20220203001386
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.

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.
26 services26 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92116 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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 3

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

HEIGHTS OPTOMETRY
Optometrist
3404 ADAMS AVE
SAN DIEGO, CA 92116
San Diego County (619) 431-5393
MRS. MEREDITH GRACE WALTON O.D.
Optometrist
3404 ADAMS AVE
SAN DIEGO, CA 92116
San Diego County (619) 431-5393
MEREDITH WALTON OD, OPTOMETRIC CORPORATION
Optometrist
3404 ADAMS AVE
SAN DIEGO, CA 92116
San Diego County No phone listed

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 Chantelle Verduzco Davis's NPI number?

The NPI number for Chantelle Verduzco Davis is 1235615014. It was assigned to this individual provider in the NPPES registry on July 16, 2018.

Where is Chantelle Verduzco Davis located?

Chantelle Verduzco Davis practices at 3404 Adams Ave, San Diego, CA 92116. The listed phone number is (619) 431-5393.

What is Chantelle Verduzco Davis's specialty?

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

Is Chantelle Verduzco Davis enrolled in Medicare?

Yes. Chantelle Verduzco Davis 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 Chantelle Verduzco Davis accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Chantelle Verduzco Davis 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 Chantelle Verduzco Davis was last updated on May 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.