| Dr Andy Keith Kongsakul, OD | |
|
19636 Sherman Way, Reseda, CA 91335-3647 | |
| (818) 774-2020 | |
| (818) 774-2021 |
| Full Name | Dr Andy Keith Kongsakul |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 18 Years |
| Location | 19636 Sherman Way, Reseda, California |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497949267 | NPI | - | NPPES |
| 1649400920 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 13639T (California) | Secondary |
| 152W00000X | Optometrist | TUV007213-1 (New York) | Primary |
| Provider Name | Valley Optometry Eyecare Center, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1649400920 PECOS PAC ID: 3173678588 Enrollment ID: O20090909000453 |
| Provider Name | El Portal Optometry Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1215212626 PECOS PAC ID: 6305124223 Enrollment ID: O20161027002397 |
| Provider Name | Hillside Optometry Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1457060857 PECOS PAC ID: 4385002948 Enrollment ID: O20230614002500 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Andy Keith Kongsakul, OD 19636 Sherman Way, Reseda, CA 91335-3647 Ph: (818) 774-2020 | Dr Andy Keith Kongsakul, OD 19636 Sherman Way, Reseda, CA 91335-3647 Ph: (818) 774-2020 |
Negin Nikahd, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 19636 Sherman Way, Reseda, CA 91335 Phone: 713-376-2771 | |
Sarah Spahi, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7217 Reseda Blvd, Reseda, CA 91335 Phone: 818-345-2010 | |
Eyecon Optometry Partnership Optometrist Medicare: Medicare Enrolled Practice Location: 7217 Reseda Blvd, Reseda, CA 91335 Phone: 818-345-2010 Fax: 818-345-2070 | |
Dr. Marshall Field, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 19636 Sherman Way, Reseda, CA 91335 Phone: 818-774-2020 Fax: 818-774-2021 | |
Looksbrite Optometry Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 18300 Sherman Way # Wt, Reseda, CA 91335 Phone: 818-794-5115 Fax: 818-698-8802 | |
Laura K. Ha Od Optometry A Professional Corporation Optometrist Medicare: Medicare Enrolled Practice Location: 7217 Reseda Blvd, Reseda, CA 91335 Phone: 818-345-2010 Fax: 818-345-2070 |