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MISS ORATHAY THONGSAMOUTH O.D.
NPI 1639273071
Optometrist in Stockton, CA

Active since September 07, 2006PECOS EnrolledAccepts Medicare Assignment
3461 BROOKSIDE RD STE A-1, STOCKTON, CA 95219(209) 451-4305(209) 622-4283 Get Directions Write a Review

NPPES record last updated: December 8, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Miss Orathay Thongsamouth O.d. NPPES

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

MISS ORATHAY THONGSAMOUTH O.D. (NPI 1639273071) is an individual optometrist in Stockton, California, licensed in California (OPT 12656 TPA) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Houston - College Of Optometry (2004).

NPPES Registry Identity

NPI1639273071
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMISS ORATHAY THONGSAMOUTHCredential: O.D.
Location Address3461 BROOKSIDE RD STE A-1Stockton, CA 95219-1741
Mailing Address3461 Brookside Rd Ste A-1Stockton, CA 95219-1741 · (209) 451-4305 · Fax (209) 622-4283
Phone(209) 451-4305
Fax(209) 622-4283
Sole ProprietorNo
Medical School CMSUniversity Of Houston - College Of OptometryGraduated 2004
Enumeration DateSeptember 7, 2006
Last NPPES UpdateDecember 8, 2016
✔ NPI 1639273071 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 · OPT 12656 TPA
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.
3461 BROOKSIDE RD STE A-1, Stockton, CA 95219
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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

Miss Orathay Thongsamouth 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 ID1951405232
PECOS Enrollment IDI20070326000405
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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
24 services24 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.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95219 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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

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

LAKESIDE OPTOMETRY, PC
Optometrist
3461 BROOKSIDE RD STE A-1
STOCKTON, CA 95219
San Joaquin County (209) 451-4305

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 Orathay Thongsamouth's NPI number?

The NPI number for Orathay Thongsamouth is 1639273071. It was assigned to this individual provider in the NPPES registry on September 7, 2006.

Where is Orathay Thongsamouth located?

Orathay Thongsamouth practices at 3461 Brookside Rd Ste A-1, Stockton, CA 95219. The listed phone number is (209) 451-4305.

What is Orathay Thongsamouth's specialty?

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

Is Orathay Thongsamouth enrolled in Medicare?

Yes. Orathay Thongsamouth 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 Orathay Thongsamouth 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 Orathay Thongsamouth 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 Orathay Thongsamouth was last updated on December 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.