OPTOMETRIC SPECIALTIES INC
NPI 1023094570
Optometrist in Los Angeles, CA
About Optometric Specialties Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OPTOMETRIC SPECIALTIES INC (NPI 1023094570) is a healthcare organization registered as an optometrist in Los Angeles, California and active in the NPI registry since December 2005. The organization maintains 2 additional practice locations and lists Eric E Gaylord, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Optometric Specialties Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Optometric Specialties Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Los Angeles, CA 90008
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Optometric Specialties Inc's NPI number?
The NPI number for Optometric Specialties Inc is 1023094570. It was assigned to this organization in the NPPES registry on December 16, 2005.
Where is Optometric Specialties Inc located?
Optometric Specialties Inc is located at 3750 Santa Rosalia Dr Ste 102, Los Angeles, CA 90008. The listed phone number is (323) 294-7517.
What is Optometric Specialties Inc's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Optometric Specialties Inc enrolled in Medicare?
Yes. Optometric Specialties Inc is registered in the Medicare PECOS enrollment system.
When is Optometric Specialties Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Optometric Specialties Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Optometric Specialties Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Optometric Specialties Inc accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list Optometric Specialties Inc 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 Optometric Specialties Inc was last updated on June 16, 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.
# Optometric Specialties Inc · NPI 1023094570
Optometrist organization in Los Angeles, California. Organization record, active in the CMS NPPES registry since December 16, 2005.
## Identity
- **NPI:** 1023094570 (Entity type: Organization)
- **Enumerated:** December 16, 2005
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Eric Gaylord, OWNER
## Practice location
- **Address:** 3750 SANTA ROSALIA DR STE 102, Los Angeles, CA 90008-3685
- **Phone:** (323) 294-7517
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 16, 2018
- **Other identifiers:** Medicaid GSD004160 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1023094570) · Data from the CMS NPPES public registry.