EL PORTAL OPTOMETRY, INC
NPI 1215212626
Optometrist in North Hollywood, CA

Q: What is El Portal Optometry, Inc's NPI number?

The NPI number for El Portal Optometry, Inc is 1215212626. It was assigned to this organization in the NPPES registry on October 17, 2011. The provider is doing business as Valley Optometry Eyecare of North Hollywood.

Q: What is El Portal Optometry, Inc's specialty?

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

Active since October 17, 2011

5269 LANKERSHIM BLVD, NORTH HOLLYWOOD, CA 91601(818) 769-2020(818) 769-2021 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 21, 2025, Sep 20, 2016 (2 updates tracked since 2016).

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About El Portal Optometry, Inc NPPES

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

EL PORTAL OPTOMETRY, INC (NPI 1215212626), doing business as Valley Optometry Eyecare Of North Hollywood, is a healthcare organization registered as an optometrist in North Hollywood, California and active in the NPI registry since October 2011. The organization lists Andy Kongsakul, President, as its authorized official.

NPPES Registry Identity

NPI1215212626

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameEL PORTAL OPTOMETRY, INC

Location Address5269 LANKERSHIM BLVDNorth Hollywood, CA 91601-3111

Mailing Address5269 Lankershim BlvdNorth Hollywood, CA 91601-3111 · (818) 769-2020 · Fax (818) 769-2021

Phone(818) 769-2020

Fax(818) 769-2021

Organization SubpartNo

Authorized OfficialAndy KongsakulPresident · (818) 769-2020

Enumeration DateOctober 17, 2011

Last NPPES UpdateMay 21, 20252 updates tracked since enumeration

NPPES CertifiedMay 21, 2025

✔ NPI 1215212626 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 · 13639 LTG

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.

5269 LANKERSHIM BLVD, North Hollywood, CA 91601

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Other Names 1

Doing Business AsValley Optometry Eyecare Of North Hollywood

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

El Portal Optometry, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 5 clinicians reassign Medicare billing to El Portal Optometry, Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Anne Shin, O.D.

Optometry

NPI 1679742241

5269 LANKERSHIM BLVD
N Hollywood, CA 91601

(818) 769-2024

✔ PECOSSame address

Kristal Kawamoto, O.D.

Optometry

NPI 1730335845

19636 SHERMAN WAY
Reseda, CA 91335

(818) 774-2020

✔ PECOS✔ Accepts Medicare11 mi

Andy Kongsakul, O.D.

Optometry

NPI 1497949267

19636 SHERMAN WAY
Reseda, CA 91335

(818) 774-2020

✔ PECOS11 mi

Mayra Lazo, OD

Optometry

NPI 1023898566

19636 SHERMAN WAY
Reseda, CA 91335

(818) 774-2020

✔ PECOS11 mi

Gina Shao, O.D.

Optometry

NPI 1023113107

2322 E THOUSAND OAKS BLVD
Thousand Oaks, CA 91362

(805) 557-1055

✔ PECOS27 mi

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 El Portal Optometry, Inc's NPI number?

The NPI number for El Portal Optometry, Inc is 1215212626. It was assigned to this organization in the NPPES registry on October 17, 2011. The provider is doing business as Valley Optometry Eyecare of North Hollywood.

Where is El Portal Optometry, Inc located?

El Portal Optometry, Inc is located at 5269 Lankershim Blvd, North Hollywood, CA 91601. The listed phone number is (818) 769-2020.

What is El Portal Optometry, Inc's specialty?

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

Is El Portal Optometry, Inc enrolled in Medicare?

Yes. El Portal Optometry, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through El Portal Optometry, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Optometry, reassign their Medicare billing to El Portal Optometry, 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 El Portal Optometry, Inc accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list El Portal Optometry, 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 El Portal Optometry, Inc was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.