LARRY JAY GOTTLIEB O.D
NPI 1609900653
Optometrist in Lakewood, CA

Active since March 14, 2007PECOS Enrolled
6418 DEL AMO BLVD, LAKEWOOD, CA 90713(562) 420-2055(562) 420-1784 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Larry Jay Gottlieb O.d NPPES

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

LARRY JAY GOTTLIEB O.D (NPI 1609900653) is an individual optometrist in Lakewood, California, licensed in California (6451T) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609900653
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameLARRY JAY GOTTLIEBCredential: O.D
Location Address6418 DEL AMO BLVDLakewood, CA 90713-2204
Mailing Address6418 Del Amo BlvdLakewood, CA 90713-2204 · (562) 420-2055 · Fax (562) 420-1784
Fax(562) 420-1784
Sole ProprietorYes
Enumeration DateMarch 14, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1609900653 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 · 6451T
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.

6418 DEL AMO BLVD, Lakewood, CA 90713

Other Identifiers 1

Medicare UPINU68216CA

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 (PECOS)

Larry Jay Gottlieb O.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 90713 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 2

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

Optometrist
6418 DEL AMO BLVD
LAKEWOOD, CA 90713
Optometrist
6418 DEL AMO BLVD
LAKEWOOD, CA 90713

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 Larry Gottlieb's NPI number?

The NPI number for Larry Gottlieb is 1609900653. It was assigned to this individual provider in the NPPES registry on March 14, 2007.

Where is Larry Gottlieb located?

Larry Gottlieb practices at 6418 Del Amo Blvd, Lakewood, CA 90713. The listed phone number is (562) 420-2055.

What is Larry Gottlieb's specialty?

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

Is Larry Gottlieb enrolled in Medicare?

Yes. Larry Gottlieb is registered in the Medicare PECOS enrollment system.

What insurance does Larry Gottlieb accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Larry Gottlieb 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 Larry Gottlieb was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.