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KENNETH FRANCIS VAN OD
NPI 1982191110
Optometrist in Simi Valley, CA

Active since April 13, 2018PECOS Enrolled
5729 NUTWOOD CIR, SIMI VALLEY, CA 93063(805) 587-3693 Get Directions Write a Review

NPPES record last updated: April 13, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenneth Francis Van Od NPPES

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

KENNETH FRANCIS VAN OD (NPI 1982191110) is an individual optometrist in Simi Valley, California, licensed in California (33905TLG) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and is a graduate of Western University Of Health Sciences College Of Dental Med (2017).

NPPES Registry Identity

NPI1982191110
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameKENNETH FRANCIS VANCredential: OD
Location Address5729 NUTWOOD CIRSimi Valley, CA 93063-3566
Mailing Address5729 Nutwood CirSimi Valley, CA 93063-3566
Phone(805) 587-3693
Sole ProprietorYes
Medical School CMSWestern University Of Health Sciences College Of Dental MedGraduated 2017
Enumeration DateApril 13, 2018
✔ NPI 1982191110 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 · 33905TLG
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.
5729 NUTWOOD CIR, Simi Valley, CA 93063
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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 (PECOS)

Kenneth Francis Van Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668846320
PECOS Enrollment IDI20230320001429
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 office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93063 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
$140.72 typical visit price
range $62.32 – $185.36
Typical copayment $35.18 (range $15.58 – $46.34)
Most-billed visit code 99204
Established Patient
$77.11 typical visit price
range $20.68 – $151.85
Typical copayment $19.27 (range $5.17 – $37.96)
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 2

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

KEVIN VAN
Student in an Organized Health Care Education/Training Program
5729 NUTWOOD CIR
SIMI VALLEY, CA 93063
Ventura County (805) 587-3719
DR. DEBORAH VAN DDS
Dentist
5729 NUTWOOD CIR
SIMI VALLEY, CA 93063
Ventura County (805) 297-5035

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 Kenneth Van's NPI number?

The NPI number for Kenneth Van is 1982191110. It was assigned to this individual provider in the NPPES registry on April 13, 2018.

Where is Kenneth Van located?

Kenneth Van practices at 5729 Nutwood Cir, Simi Valley, CA 93063. The listed phone number is (805) 587-3693.

What is Kenneth Van's specialty?

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

Is Kenneth Van enrolled in Medicare?

Yes. Kenneth Van is registered in the Medicare PECOS enrollment system.

What insurance does Kenneth Van accept?

Health plans from Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Kenneth 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 Kenneth Van was last updated on April 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.