EVELYNNE CHAVEZ OD
NPI 1124588165
Optometrist in Los Angeles, CA
About Evelynne Chavez Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EVELYNNE CHAVEZ OD (NPI 1124588165) is an individual optometrist in Los Angeles, California, licensed in California (34371TLG) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Evelynne Chavez Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Evelynne Chavez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Los Angeles, CA 90037
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Marshall B Ketchum University
- 131 clinicians in this Medicare group
Whittier, CA 90606
- Reassigned Medicare billing, California enrollment
- 40 clinicians in this Medicare group
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 90073 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90073
LOS ANGELES, CA 90073
LOS ANGELES, CA 90073
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 Evelynne Chavez's NPI number?
The NPI number for Evelynne Chavez is 1124588165. It was assigned to this individual provider in the NPPES registry on March 25, 2019.
Where is Evelynne Chavez located?
Evelynne Chavez practices at 11301 Wilshire Blvd Bldg 304, Los Angeles, CA 90073. The listed phone number is (310) 478-3711.
What is Evelynne Chavez's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Evelynne Chavez enrolled in Medicare?
Yes. Evelynne Chavez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Evelynne Chavez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Evelynne Chavez reassigns Medicare benefits to 2 organizations: Marshall B. Ketchum University/University Eye Center At Los Angeles (Los Angeles, CA) and Golden Ardaya & Lin Optometry Inc (Whittier, 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 Evelynne Chavez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Evelynne Chavez 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 Providence Health Plan list Evelynne Chavez 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 Evelynne Chavez was last updated on June 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Evelynne Chavez, OD · NPI 1124588165
Optometrist provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since March 25, 2019.
## Identity
- **NPI:** 1124588165 (Entity type: Individual)
- **Enumerated:** March 25, 2019
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 34371TLG (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 11301 WILSHIRE BLVD BLDG 304, Los Angeles, CA 90073-1003
- **Phone:** (310) 478-3711
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Marshall B. Ketchum University/University Eye Center At Los Angeles (NPI 1558467225, Los Angeles, CA); Golden Ardaya & Lin Optometry Inc (NPI 1962764340, Whittier, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** June 30, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1124588165) · Data from the CMS NPPES public registry.