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

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: October 25, 2026.

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

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.

Medicare Billing Reassignments

3

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

Valley Optometry Eyecare Center, Inc.
Same address
Optometrist
19636 SHERMAN WAY
Reseda, CA 91335
  • Reassigned Medicare billing, California enrollment
  • 6 clinicians in this Medicare group
NPI 1649400920 (818) 774-2020
Hillside Optometry Inc
6.0 mi
Optometrist
16907 SAN FERNANDO MISSION BLVD
Granada Hills, CA 91344
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
NPI 1457060857 (818) 474-2020
El Portal Optometry, Inc
11 mi
Optometrist
5269 LANKERSHIM BLVD
North Hollywood, CA 91601
  • Reassigned Medicare billing, California enrollment
  • 5 clinicians in this Medicare group
NPI 1215212626 (818) 769-2020

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 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.

Which organizations bill Medicare for Andy Kongsakul's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andy Kongsakul reassigns Medicare benefits to 3 organizations: Valley Optometry Eyecare Center, Inc. (Reseda, CA), Hillside Optometry Inc (Granada Hills, CA) and El Portal Optometry, Inc (North Hollywood, 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 Andy Kongsakul's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andy Kongsakul 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 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 4 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.