VALLEY OPTOMETRY EYECARE CENTER, INC.
NPI 1649400920
Optometrist in Reseda, CA
About Valley Optometry Eyecare Center, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VALLEY OPTOMETRY EYECARE CENTER, INC. (NPI 1649400920), doing business as Valley Optometry Eyecare, is a healthcare organization registered as an optometrist in Reseda, California and active in the NPI registry since July 2009. The organization lists Andy Kongsakul, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 2
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Valley Optometry Eyecare Center, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Valley Optometry Eyecare Center, Inc., which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
Source: 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 Valley Optometry Eyecare Center, Inc.'s NPI number?
The NPI number for Valley Optometry Eyecare Center, Inc. is 1649400920. It was assigned to this organization in the NPPES registry on July 21, 2009. The provider is doing business as Valley Optometry Eyecare and Valley Optometry Eyecare of Reseda.
Where is Valley Optometry Eyecare Center, Inc. located?
Valley Optometry Eyecare Center, Inc. is located at 19636 Sherman Way, Reseda, CA 91335. The listed phone number is (818) 774-2020.
What is Valley Optometry Eyecare Center, Inc.'s specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Valley Optometry Eyecare Center, Inc. enrolled in Medicare?
Yes. Valley Optometry Eyecare Center, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Valley Optometry Eyecare Center, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Optometry, reassign their Medicare billing to Valley Optometry Eyecare Center, Inc.. 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. Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Valley Optometry Eyecare Center, Inc. accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list Valley Optometry Eyecare Center, Inc. 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 Valley Optometry Eyecare Center, Inc. was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Valley Optometry Eyecare Center, Inc. · NPI 1649400920
Optometrist organization in Reseda, California. Organization record, active in the CMS NPPES registry since July 21, 2009.
## Identity
- **NPI:** 1649400920 (Entity type: Organization)
- **Enumerated:** July 21, 2009
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Also known as:** Valley Optometry Eyecare (Doing Business As); Valley Optometry Eyecare of Reseda (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Andy Kongsakul, DIRECTOR
## Practice location
- **Address:** 19636 SHERMAN WAY, Reseda, CA 91335
- **Phone:** (818) 774-2020 · **Fax:** (818) 774-2021
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 3 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 21, 2025
- **Other identifiers:** Medicaid 1649400920 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1649400920) · Data from the CMS NPPES public registry.