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DANIELLE NICOLE LICHT OD
NPI 1447874193
Optometrist in Oakland, CA

Active since May 28, 2020PECOS EnrolledAccepts Medicare Assignment
868 WALKER AVE APT 1, OAKLAND, CA 94610(925) 413-3110 Get Directions Write a Review

NPPES record last updated: July 8, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 8, 2020, May 28, 2020 (2 updates tracked since 2020).

About Danielle Nicole Licht Od NPPES

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

DANIELLE NICOLE LICHT OD (NPI 1447874193) is an individual optometrist in Oakland, California, licensed in California (34566) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and is a graduate of University Of California - School Of Optometry (2020).

NPPES Registry Identity

NPI1447874193
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDANIELLE NICOLE LICHTCredential: OD
Location Address868 WALKER AVE APT 1Oakland, CA 94610-2033
Mailing Address868 Walker Ave Apt 1Oakland, CA 94610-2033 · (925) 413-3110
Phone(925) 413-3110
Sole ProprietorYes
Medical School CMSUniversity Of California - School Of OptometryGraduated 2020
Enumeration DateMay 28, 2020
Last NPPES UpdateJuly 8, 20202 updates tracked since enumeration
NPPES CertifiedJuly 8, 2020
✔ NPI 1447874193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CA · 34566
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
868 WALKER AVE APT 1, Oakland, CA 94610
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Danielle Nicole Licht 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 ID446673289
PECOS Enrollment IDI20200713000370
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.
25 services24 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.
22 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94610 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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 Danielle Licht's NPI number?

The NPI number for Danielle Licht is 1447874193. It was assigned to this individual provider in the NPPES registry on May 28, 2020.

Where is Danielle Licht located?

Danielle Licht practices at 868 Walker Ave Apt 1, Oakland, CA 94610. The listed phone number is (925) 413-3110.

What is Danielle Licht's specialty?

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

Is Danielle Licht enrolled in Medicare?

Yes. Danielle Licht 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 Danielle Licht accept?

Health plans from Providence Health Plan list Danielle Licht 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 Danielle Licht was last updated on July 8, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.