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TINA KHIEU OD
NPI 1962031617
Optometrist in La Jolla, CA

Active since April 05, 2020PECOS Enrolled
9850 GENESEE AVE STE 310, LA JOLLA, CA 92037(800) 898-2020 Get Directions Write a Review

NPPES record last updated: September 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 13, 2023, Sep 22, 2021, Apr 5, 2020 (3 updates tracked since 2020).

About Tina Khieu Od NPPES

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

TINA KHIEU OD (NPI 1962031617) is an individual optometrist in La Jolla, California, licensed in California (34777) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1962031617
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameTINA KHIEUCredential: OD
Location Address9850 GENESEE AVE STE 310La Jolla, CA 92037-1208
Mailing Address360 Sierra College Dr, Ste 100Grass Valley, CA 95945-5088 · (530) 273-3190
Phone(800) 898-2020
Sole ProprietorNo
Enumeration DateApril 5, 2020
Last NPPES UpdateSeptember 22, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2023
✔ NPI 1962031617 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 · 34777
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
9850 GENESEE AVE STE 310, La Jolla, CA 92037
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12240 E Plaza Blvd # F&gNational City, CA 91950-5164 · Phone (800) 898-2020
Location 2150 S Huntington AveBoston, MA 02130-4817 · Phone (617) 232-9500

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 (PECOS)

Tina Khieu Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

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.
28 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92037 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 4

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

RETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP, A CALIFORNIA MEDICAL PAR
Ophthalmology
9850 GENESEE AVE STE 310
LA JOLLA, CA 92037
San Diego County (800) 898-2020
YASAMIN MOGHTADER
Optometrist
9850 GENESEE AVE STE 310
LA JOLLA, CA 92037
San Diego County (800) 898-2020
DR. MEHRI MOSHTAGHI OD
Optometrist
9850 GENESEE AVE STE 310
LA JOLLA, CA 92037
San Diego County (858) 457-3010
STEPHANIE MIDTLING MD
Ophthalmology
9850 GENESEE AVE STE 310
LA JOLLA, CA 92037
San Diego County (800) 898-2020

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 Khieu's NPI number?

The NPI number for Tina Khieu is 1962031617. It was assigned to this individual provider in the NPPES registry on April 5, 2020.

Where is Tina Khieu located?

Tina Khieu practices at 9850 Genesee Ave Ste 310, La Jolla, CA 92037. The listed phone number is (800) 898-2020.

What is Tina Khieu's specialty?

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

Is Tina Khieu enrolled in Medicare?

Yes. Tina Khieu is registered in the Medicare PECOS enrollment system.

What insurance does Tina Khieu 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 Tina Khieu 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 Khieu was last updated on September 22, 2023. 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.