JACQUELINE REYES OD
NPI 1295477065
Optometrist in Los Angeles, CA

Active since April 11, 2022PECOS EnrolledAccepts Medicare Assignment
11696 SAN VICENTE BLVD, LOS ANGELES, CA 90049(310) 820-2020 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacqueline Reyes Od NPPES

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

JACQUELINE REYES OD (NPI 1295477065) is an individual optometrist in Los Angeles, California, licensed in California (OPT35355-TLG) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1295477065
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameJACQUELINE REYESCredential: OD
Location Address11696 SAN VICENTE BLVDLos Angeles, CA 90049-5104
Mailing Address11696 San Vicente BlvdLos Angeles, CA 90049-5104 · (310) 820-2020
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 11, 2022
Last NPPES UpdateSeptember 26, 2023
NPPES CertifiedSeptember 26, 2023
NPI 1295477065 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 · OPT35355-TLG
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.
11696 SAN VICENTE BLVD, Los Angeles, CA 90049

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jacqueline Reyes 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.

PECOS PAC ID1254781826
PECOS Enrollment IDI20231221003191
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90049 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.

Optometrist
11696 SAN VICENTE BLVD
LOS ANGELES, CA 90049

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 Jacqueline Reyes's NPI number?

The NPI number for Jacqueline Reyes is 1295477065. It was assigned to this individual provider in the NPPES registry on April 11, 2022.

Where is Jacqueline Reyes located?

Jacqueline Reyes practices at 11696 San Vicente Blvd, Los Angeles, CA 90049. The listed phone number is (310) 820-2020.

What is Jacqueline Reyes's specialty?

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

Is Jacqueline Reyes enrolled in Medicare?

Yes. Jacqueline Reyes 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.

What insurance does Jacqueline Reyes accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Jacqueline Reyes 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 Jacqueline Reyes was last updated on September 26, 2023. 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.