Dipa Kodukula is a Cedar Park, Texas based female Optometrist with 19 years of experience in Optometry. She completed her graduation from University Of Houston - College Of Optometry in 2005. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dipa Kodukula is 6753TG for Optometry in Texas. Dipa Kodukula 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. She 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. She is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dipa Kodukula speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Experience:
19+ years
Medical School Attended:
University Of Houston - College Of Optometry
Graduation Year:
2005
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
3419 El Salido Pkwy, Ste 100, Cedar Park, Texas, 78613-5639
Phone:
512-918-3937
Fax:
512-918-2028
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
5496770570
Enrollment ID:
I20051007000403
NPI Number:
1730163494
NPI Enumeration Date:
05 Dec, 2005
NPI Last Update On:
07 Mar, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dipa Kodukula are as mentioned below.
License Number
Specialization
State
Status
6753TG
Optometry
Texas
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dipa Kodukula has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Lakeline Vision, P.c. (0244227486)
8
Other Medical Identifiers:
Other legacy medical identifiers associated with Dipa Kodukula such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
6753TG
Other
Texas
OPTOMETRY
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3419 El Salido Pkwy Ste 100, Cedar Park, Texas
Zip:
78613-5639
Phone Number:
512-918-3937
Fax Number:
512-918-2028
Patients can reach Dipa Kodukula at 3419 El Salido Pkwy, Ste 100, Cedar Park, Texas or can call to book an appointment on 512-918-3937. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.