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IRIN PANSAWIRA O.D.
NPI 1083097760
Optometrist in Hawthorne, CA

Active since June 30, 2015PECOS Enrolled
4455 W 117TH ST STE 105, HAWTHORNE, CA 90250(424) 456-6200 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 17, 2021, Jun 22, 2020 (2 updates tracked since 2020).

About Irin Pansawira O.d. NPPES

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

IRIN PANSAWIRA O.D. (NPI 1083097760) is an individual optometrist in Hawthorne, California, licensed in California (15319) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083097760
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameIRIN PANSAWIRACredential: O.D.
Location Address4455 W 117TH ST STE 105Hawthorne, CA 90250-2240
Mailing Address4455 W 117th St Ste 105Hawthorne, CA 90250-2240
Phone(424) 456-6200
Sole ProprietorNo
Enumeration DateJune 30, 2015
Last NPPES UpdateMarch 25, 20242 updates tracked since enumeration
NPPES CertifiedMarch 25, 2024
✔ NPI 1083097760 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 · 15319
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.
4455 W 117TH ST STE 105, Hawthorne, CA 90250
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Irin Pansawira 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 Reassignments

3

Medicare enrollment records show Irin Pansawira reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northeast Community Clinic
Same address
Federally Qualified Health Center (FQHC)
4455 W. 117TH ST SUITE 105
Hawthorne, CA 90250
  • Reassigned Medicare billing, California enrollment
  • 45 clinicians in this Medicare group
NPI 1275226334 (424) 456-6200
St. Johns Community Health
3.0 mi
Community Health
1555 WEST 110TH ST
Los Angeles, CA 90047
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: St. John's Community Health
  • 404 clinicians in this Medicare group
NPI 1629491089 (323) 541-1600
Clinica Sierra Vista
69 mi
Community/Behavioral Health
704 LEBEC RD, SUITE C
Lebec, CA 93243
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1669621447 (California)
  • 264 clinicians in this Medicare group
NPI 1265652697 (661) 245-0250

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
33 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90250 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.

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 Irin Pansawira's NPI number?

The NPI number for Irin Pansawira is 1083097760. It was assigned to this individual provider in the NPPES registry on June 30, 2015.

Where is Irin Pansawira located?

Irin Pansawira practices at 4455 W 117th St Ste 105, Hawthorne, CA 90250. The listed phone number is (424) 456-6200.

What is Irin Pansawira's specialty?

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

Is Irin Pansawira enrolled in Medicare?

Yes. Irin Pansawira is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Irin Pansawira's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Irin Pansawira reassigns Medicare benefits to 3 organizations: Northeast Community Clinic (Hawthorne, CA), St. Johns Community Health (Los Angeles, CA) and Clinica Sierra Vista (Lebec, CA). Each 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 Irin Pansawira's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Irin Pansawira accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Irin Pansawira 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 Irin Pansawira was last updated on March 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.