1. Home
  2. Directory
  3. California
  4. Newport Beach
  5. Optometrist
  6. NPI Profile

LISA VAN OD
NPI 1689170664
Optometrist in Newport Beach, CA

Active since March 30, 2018PECOS EnrolledAccepts Medicare Assignment
4220 VON KARMAN AVE STE 100, NEWPORT BEACH, CA 92660(949) 431-6344 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 27, 2023, Mar 16, 2020, Nov 12, 2019 and 1 more (4 updates tracked since 2018).

About Lisa Van Od NPPES

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

LISA VAN OD (NPI 1689170664) is an individual optometrist in Newport Beach, California, licensed in California (34027TLG) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Southern California College Of Optometry (2018).

NPPES Registry Identity

NPI1689170664
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameLISA VANCredential: OD
Location Address4220 VON KARMAN AVE STE 100Newport Beach, CA 92660-2056
Mailing Address4220 Von Karman Ave Ste 100Newport Beach, CA 92660-2056
Phone(949) 431-6344
Sole ProprietorNo
Medical School CMSSouthern California College Of OptometryGraduated 2018
Enumeration DateMarch 30, 2018
Last NPPES UpdateOctober 27, 20234 updates tracked since enumeration
NPPES CertifiedMarch 16, 2020
✔ NPI 1689170664 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 · 34027TLG✔ Licensed in CA · NA
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.
4220 VON KARMAN AVE STE 100, Newport Beach, CA 92660
Open in Google Maps ↗

Secondary Practice Locations 2

Location 127800 Medical Center Rd Ste 130Mission Viejo, CA 92691-6407 · Phone (949) 364-0225 · Fax (949) 364-9014
Location 211301 Wilshire Blvd, Eye Clinic (123) Building 304Los Angeles, CA 90073-1003 · Phone (310) 478-3711

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lisa Van 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 ID1557780236
PECOS Enrollment IDI20200929003308
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Lisa Van reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Thomas S Tooma M D A Professional Corporation
Same address
Ophthalmology
4220 VON KARMAN AVE STE 100
Newport Beach, CA 92660
  • Reassigned Medicare billing, California enrollment
  • 48 clinicians in this Medicare group
NPI 1922129865 (492) 847-4289
Luis A Chanes M D Inc
3.7 mi
Specialist
2621 S BRISTOL ST, SUITE 205
Santa Ana, CA 92704
  • Reassigned Medicare billing, California enrollment
  • 13 clinicians in this Medicare group
NPI 1568481679 (714) 557-5777
Clarity Eye Group
7.4 mi
Ophthalmology
19671 BEACH BLVD, SUITE 400
Huntington Beach, CA 92648
  • Reassigned Medicare billing, California enrollment
  • 14 clinicians in this Medicare group
NPI 1033122957 (714) 842-0651
Southern California Permanente Medical Group
13 mi
Health Maintenance Organization
441 N LAKEVIEW AVE
Anaheim, CA 92807
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1396287082 (California)
  • 13,921 clinicians in this Medicare group
NPI 1952333460 (714) 279-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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 office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
64 services53 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.
51 services50 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.
42 services42 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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92660 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

DR. SIYI ZHANG OD
Optometrist
4220 VON KARMAN AVE STE 100
NEWPORT BEACH, CA 92660
Orange County (949) 854-7400
DR. THUY HUA JUNG O.D.
Optometrist
4220 VON KARMAN AVE STE 100
NEWPORT BEACH, CA 92660
Orange County (949) 854-7400
THOMAS S TOOMA M D A PROFESSIONAL CORPORATION
Ophthalmology
4220 VON KARMAN AVE STE 100
NEWPORT BEACH, CA 92660
Orange County (492) 847-4289

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 Lisa Van's NPI number?

The NPI number for Lisa Van is 1689170664. It was assigned to this individual provider in the NPPES registry on March 30, 2018.

Where is Lisa Van located?

Lisa Van practices at 4220 Von Karman Ave Ste 100, Newport Beach, CA 92660. The listed phone number is (949) 431-6344.

What is Lisa Van's specialty?

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

Is Lisa Van enrolled in Medicare?

Yes. Lisa Van 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.

Which organizations bill Medicare for Lisa Van's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Van reassigns Medicare benefits to 4 organizations: Thomas S Tooma M D A Professional Corporation (Newport Beach, CA), Luis A Chanes M D Inc (Santa Ana, CA), Clarity Eye Group (Huntington Beach, CA) and Southern California Permanente Medical Group (Anaheim, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Van's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Van accept?

Health plans from Anthem Blue Cross and Blue Shield and Providence Health Plan list Lisa Van 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 Lisa Van was last updated on October 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.