Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Bonnie Lauren Samuelson, OD

Individual provider Optometrist · NPI 1073139291

Dr. Bonnie Lauren Samuelson, OD is an Optometry in Newport Beach, California. Graduated from Stanford University School of Medicine in 2015, 11 years ago. Practices with David B Rosenblum O D Inc, a 5-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
11
Trained at
Stanford University School of Medicine
Licensed in
CA
In the registry since
2020
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

21161 Newport Coast Dr
Newport Beach, CA 92657-1123
Phone: (949) 640-4733
Fax: (949) 287-0186
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 34540 (CA)

Record details

NPI number1073139291
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedJune 23, 2020
Last updated in NPPESJune 23, 2020
Certification dateJune 23, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSTANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice David B Rosenblum O D Inc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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