Dr Gordon Kiyoshi Ota, OD in Fountain Valley, CA

Dr Gordon Kiyoshi Ota, OD is a medicare enrolled "Optometrist" provider in Fountain Valley, California. His current practice location is 10130 Warner Ave, Suite J, Fountain Valley, California. You can reach out to his office (for appointments etc.) via phone at (714) 965-5130.

Dr Gordon Kiyoshi Ota is licensed to practice in California (license number T7549) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1154392470.

Contact Information

	Dr Gordon Kiyoshi Ota, OD
	10130 Warner Ave, Suite J, Fountain Valley, CA 92708-1619
	(714) 965-5130
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Gordon Kiyoshi Ota
Gender	Male
Speciality	Optometrist
Location	10130 Warner Ave, Fountain Valley, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154392470
Provider Enumeration Date: 01/27/2006
Last Update Date: 09/05/2012

Medicare PECOS Information:

PECOS PAC ID: 9830226521
Enrollment ID: I20100429000340

Medical Identifiers

Medical identifiers for Dr Gordon Kiyoshi Ota such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154392470	NPI	-	NPPES
SD0075490	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	T7549 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Gordon Kiyoshi Ota allows following entities to bill medicare on his behalf.

Provider Name	Nhat Le-huynh Od A Professional Corporation
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1215411251 PECOS PAC ID: 4385980218 Enrollment ID: O20190114001115

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Gordon Kiyoshi Ota is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Gordon Kiyoshi Ota, OD 10130 Warner Ave, Suite J, Fountain Valley, CA 92708-1619 Ph: (714) 965-5130	Dr Gordon Kiyoshi Ota, OD 10130 Warner Ave, Suite J, Fountain Valley, CA 92708-1619 Ph: (714) 965-5130

Reviews and Comments

Optometrist in Fountain Valley, CA

Sako And Kame Optometric Corp Optometrist Medicare: Medicare Enrolled Practice Location: 18449 Brookhurst St Ste 6, Fountain Valley, CA 92708 Phone: 714-963-2111
Dr. Barbara B. Fineberg, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 18449 Brookhurst St, Suite 6, Fountain Valley, CA 92708 Phone: 714-963-2111 Fax: 714-963-4246
Firssight Vision Services, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 17099 Brookhurst St, Fountain Valley, CA 92708 Phone: 714-965-1070
Dr. Dan B. Carver, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 11180 Warner Ave Ste 261, Fountain Valley, CA 92708 Phone: 714-263-0800 Fax: 714-263-2336
Seiju E. Terada, O.d., Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 10130 Warner Ave Ste J, Fountain Valley, CA 92708 Phone: 714-965-5130 Fax: 714-965-8265
Crystal Vision Optometry Optometrist Medicare: Medicare Enrolled Practice Location: 16125 Harbor Blvd, Fountain Valley, CA 92708 Phone: 714-531-9900 Fax: 714-531-0236

Dr Gordon Kiyoshi Ota, OD - Medicare Optometrist in Fountain Valley, CA