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MI-JEONG SEUL O.D.
NPI 1063621928
Optometrist in Los Angeles, CA

Active since May 21, 2007PECOS Enrolled
1843 1/2 S LA CIENEGA BLVD, LOS ANGELES, CA 90035(323) 857-2673 Get Directions Write a Review

NPPES record last updated: December 21, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mi-jeong Seul O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MI-JEONG SEUL O.D. (NPI 1063621928) is an individual optometrist in Los Angeles, California, licensed in California (12475T) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063621928
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMI-JEONG SEULCredential: O.D.
Location Address1843 1/2 S LA CIENEGA BLVDLos Angeles, CA 90035-4603
Mailing Address13165 Sunset Point WaySan Diego, CA 92130-1363 · (310) 294-7088
Phone(323) 857-2673
Sole ProprietorNo
Enumeration DateMay 21, 2007
Last NPPES UpdateDecember 21, 2021
NPPES CertifiedDecember 21, 2021
✔ NPI 1063621928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CA · 12475T
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists 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. An optometrist has 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. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1843 1/2 S LA CIENEGA BLVD, Los Angeles, CA 90035
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Other Names 1

Other Name (5)Mi-jeong Shin O.d.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mi-jeong Seul O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mi-jeong Seul reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
0.4 mi
Health Maintenance Organization
6041 CADILLAC AVE
Los Angeles, CA 90034
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1043242563 (323) 857-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90035 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SONIA KIM
Optometrist
1843 1/2 S LA CIENEGA BLVD
LOS ANGELES, CA 90035
Los Angeles County (323) 857-2673

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 Mi-jeong Seul's NPI number?

The NPI number for Mi-jeong Seul is 1063621928. It was assigned to this individual provider in the NPPES registry on May 21, 2007. The provider is also known as Mi-Jeong Shin O.D..

Where is Mi-jeong Seul located?

Mi-jeong Seul practices at 1843 1/2 S La Cienega Blvd, Los Angeles, CA 90035. The listed phone number is (323) 857-2673.

What is Mi-jeong Seul's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Mi-jeong Seul enrolled in Medicare?

Yes. Mi-jeong Seul is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mi-jeong Seul's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mi-jeong Seul reassigns Medicare benefits to Southern California Permanente Medical Group (Los Angeles, CA). The 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 Mi-jeong Seul's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mi-jeong Seul was last updated on December 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.