DR. ANDY KEITH KONGSAKUL O.D.
NPI 1497949267
Optometrist in Reseda, CA

Q: What is Andy Kongsakul's NPI number?

The NPI number for Andy Kongsakul is 1497949267. It was assigned to this individual provider in the NPPES registry on September 4, 2007. The provider is also known as Dr. Andy Keith Kongsakul O.D..

Q: What is Andy Kongsakul's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Andy Kongsakul was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since September 04, 2007PECOS Enrolled

19636 SHERMAN WAY, RESEDA, CA 91335(818) 774-2020(818) 774-2021 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Andy Keith Kongsakul O.d. NPPES

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

DR. ANDY KEITH KONGSAKUL O.D. (NPI 1497949267) is an individual optometrist in Reseda, California, licensed in New York (TUV007213-1) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1497949267

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. ANDY KEITH KONGSAKULCredential: O.D.

Location Address19636 SHERMAN WAYReseda, CA 91335-3647

Mailing Address19636 Sherman WayReseda, CA 91335-3647 · (818) 774-2020 · Fax (818) 774-2021

Phone(818) 774-2020

Fax(818) 774-2021

Sole ProprietorYes

Medical School CMSOtherGraduated 2007

Enumeration DateSeptember 4, 2007

Last NPPES UpdateJune 9, 2026

NPPES CertifiedJune 9, 2026

✔ NPI 1497949267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Licenses✔ Licensed in NY · TUV007213-1✔ Licensed in CA · 13639T

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.

19636 SHERMAN WAY, Reseda, CA 91335

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Other Names 1

Professional Name (2)Dr. Andy Keith Kongsakul O.d.

Secondary Practice Locations 2

Location 116907 San Fernando Mission BlvdGranada Hills, CA 91344-4250 · Phone (818) 474-2020

Location 25269 Lankershim BlvdNorth Hollywood, CA 91601-3111 · Phone (818) 769-2020

Other Identifiers 1

Medicaid1649400920CA

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Andy Keith Kongsakul O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557416963

PECOS Enrollment IDI20090909000442

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 91335 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 4

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

MAYRA CAROLINA LAZO OD

Optometrist

19636 SHERMAN WAY
RESEDA, CA 91335

Los Angeles County (818) 774-2020

NEGIN NIKAHD OD

Optometrist

19636 SHERMAN WAY
RESEDA, CA 91335

Los Angeles County (713) 376-2771

VALLEY OPTOMETRY EYECARE CENTER, INC.

Optometrist

19636 SHERMAN WAY
RESEDA, CA 91335

Los Angeles County (818) 774-2020

DR. KRISTAL C KAWAMOTO O.D.

Optometrist

19636 SHERMAN WAY
RESEDA, CA 91335

Los Angeles County (818) 774-2020

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 Andy Kongsakul's NPI number?

The NPI number for Andy Kongsakul is 1497949267. It was assigned to this individual provider in the NPPES registry on September 4, 2007. The provider is also known as Dr. Andy Keith Kongsakul O.D..

Where is Andy Kongsakul located?

Andy Kongsakul practices at 19636 Sherman Way, Reseda, CA 91335. The listed phone number is (818) 774-2020.

What is Andy Kongsakul's specialty?

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

Is Andy Kongsakul enrolled in Medicare?

Yes. Andy Kongsakul is registered in the Medicare PECOS enrollment system.

What insurance does Andy Kongsakul 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 Andy Kongsakul 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 Andy Kongsakul was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.