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TINA LICINA O.D.
NPI 1457703340
Optometrist in Las Vegas, NV

Active since July 05, 2016PECOS EnrolledAccepts Medicare Assignment
90.08/100
CMS Quality Rating
5871 W. CRAIG RD., LAS VEGAS, NV 89130(702) 724-2020(702) 724-2800 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jul 18, 2017 and 1 more (4 updates tracked since 2017).

About Tina Licina O.d. NPPES

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

TINA LICINA O.D. (NPI 1457703340) is an individual optometrist in Las Vegas, Nevada, licensed in Nevada (915) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1457703340
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameTINA LICINACredential: O.D.
Location Address5871 W. CRAIG RD.Las Vegas, NV 89130
Mailing Address5840 W. Craig Rd., Ste. 120 Pmb 254Las Vegas, NV 89130 · (702) 724-2020 · Fax (702) 405-5541
Phone(702) 724-2020
Fax(702) 724-2800
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 5, 2016
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
✔ NPI 1457703340 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 NV · 915
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
5871 W. CRAIG RD., Las Vegas, NV 89130
Open in Google Maps ↗

Secondary Practice Location 1

Location 13350 La Jolla Village DrSan Diego, CA 92161-0002 · Phone (858) 552-8585 ext. 2204

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

Tina Licina O.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 ID4183995855
PECOS Enrollment IDI20170731001581
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 10

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.
153 services147 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
91 services89 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.
71 services71 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.
70 services56 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
61 services61 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
41 services40 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89130 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
$131.25 typical visit price
range $57.07 – $173.24
Typical copayment $32.81 (range $14.26 – $43.31)
Most-billed visit code 99204
Established Patient
$71.14 typical visit price
range $18.27 – $140.96
Typical copayment $17.78 (range $4.56 – $35.24)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost66.96

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%66 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

DR. JEFFREY L. HART MD
Ophthalmology
5871 W. CRAIG RD.
LAS VEGAS, NV 89130
Clark County (702) 724-2020
DR. RUBEN F SALINAS-GARCIA M.D.
Ophthalmology
5871 W. CRAIG RD.
LAS VEGAS, NV 89130
Clark County (702) 724-2020
DR. MICHAEL L. PERNULA M.D.
Ophthalmology
5871 W. CRAIG RD.
LAS VEGAS, NV 89130
Clark County (702) 724-2020
EVA I LIANG MD
Ophthalmology
5871 W. CRAIG RD.
LAS VEGAS, NV 89130
Clark County (702) 724-2020

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 Tina Licina's NPI number?

The NPI number for Tina Licina is 1457703340. It was assigned to this individual provider in the NPPES registry on July 5, 2016.

Where is Tina Licina located?

Tina Licina practices at 5871 W. Craig Rd., Las Vegas, NV 89130. The listed phone number is (702) 724-2020.

What is Tina Licina's specialty?

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

Is Tina Licina enrolled in Medicare?

Yes. Tina Licina 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 Tina Licina accept?

Health plans from Providence Health Plan list Tina Licina 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 Tina Licina was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.