OPTOMETRIC CENTER OF LOS ANGELES
NPI 1558467225
Optometrist in Los Angeles, CA
About Optometric Center Of Los Angeles NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OPTOMETRIC CENTER OF LOS ANGELES (NPI 1558467225) is a healthcare organization registered as an optometrist in Los Angeles, California and active in the NPI registry since September 2006. The organization lists Mark E. Nakeno, Clinic Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 4
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Optometric Center Of Los Angeles is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
130Medicare enrollment records show 130 clinicians reassign Medicare billing to Optometric Center Of Los Angeles, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 10 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 3
Nearest to this location (20)
See all 130Source: 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 Marshall B. Ketchum University/University Eye Center At Los Angeles's NPI number?
The NPI number for Marshall B. Ketchum University/University Eye Center At Los Angeles is 1558467225. It was assigned to this organization in the NPPES registry on September 16, 2006. The provider is doing business as Optometric Center Of Los Angeles.
Where is Marshall B. Ketchum University/University Eye Center At Los Angeles located?
Marshall B. Ketchum University/University Eye Center At Los Angeles is located at 3916 S. Broadway, Los Angeles, CA 90037. The listed phone number is (323) 234-9137.
What is Marshall B. Ketchum University/University Eye Center At Los Angeles's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Marshall B. Ketchum University/University Eye Center At Los Angeles enrolled in Medicare?
Yes. Marshall B. Ketchum University/University Eye Center At Los Angeles is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Marshall B. Ketchum University/University Eye Center At Los Angeles?
According to the CMS Revalidation Reassignment List (October 2026 release), 130 clinicians in 3 Medicare specialties reassign their Medicare billing to Marshall B. Ketchum University/University Eye Center At Los Angeles. 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. The largest specialties are Optometry (116), Ophthalmology (12) and Family Practice (2). Of these, 1 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Marshall B. Ketchum University/University Eye Center At Los Angeles was last updated on October 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Optometric Center Of Los Angeles · NPI 1558467225
Optometrist organization in Los Angeles, California. Organization record, active in the CMS NPPES registry since September 16, 2006.
## Identity
- **NPI:** 1558467225 (Entity type: Organization)
- **Enumerated:** September 16, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Legal business name:** Marshall B. Ketchum University/university Eye Center At Los Angeles
- **Organization subpart:** Yes (part of Marshall B. Ketchum University)
- **Authorized official:** Mark Nakeno, CLINIC DIRECTOR
## Practice location
- **Address:** 3916 S. BROADWAY, Los Angeles, CA 90037
- **Phone:** (323) 234-9137 · **Fax:** (323) 235-6203
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 130 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Optometry (116), Ophthalmology (12), Family Practice (2); 1 practice at this address and 10 within 10 miles; [full list](https://npiprofile.com/npi/1558467225/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 8, 2015
- **Other identifiers:** Medicaid ZZT 11740F (CA); Medicare PIN 44593 (CA); Medicare UPIN WY1110 (CA); and 1 more
---
Source: [NPI Profile](https://npiprofile.com/npi/1558467225) · Data from the CMS NPPES public registry.