DR. TINA LUCY KEVORKIAN O.D.
NPI 1770812935
Optometrist in Los Angeles, CA

Active since December 17, 2009PECOS EnrolledAccepts Medicare Assignment
1127 WILSHIRE BLVD, SUITE 1209, LOS ANGELES, CA 90017(213) 250-8888 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Tina Lucy Kevorkian O.d. NPPES

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

DR. TINA LUCY KEVORKIAN O.D. (NPI 1770812935) is an individual optometrist in Los Angeles, California, licensed in California (12444T) and active in the NPI registry since December 2009. She is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2003).

NPPES Registry Identity

NPI1770812935
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. TINA LUCY KEVORKIANCredential: O.D.
Location Address1127 WILSHIRE BLVD, SUITE 1209Los Angeles, CA 90017-3901
Mailing Address1127 Wilshire Blvd, Suite 1209Los Angeles, CA 90017-3901 · (213) 250-8888
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2003
Enumeration DateDecember 17, 2009
Last NPPES UpdateDecember 6, 2021
NPI 1770812935 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 · 12444T
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.
1127 WILSHIRE BLVD, Los Angeles, CA 90017

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Tina Lucy Kevorkian O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880866029
PECOS Enrollment IDI20111011000571
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 90017 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 20

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

Dentist (General Practice)
1127 WILSHIRE BLVD, SUITE #1608
LOS ANGELES, CA 90017
Dentist (General Practice)
1127 WILSHIRE BLVD, SUITE 1103
LOS ANGELES, CA 90017
Dermatology
1127 WILSHIRE BLVD, STE 600
LOS ANGELES, CA 90017
Otolaryngology (Plastic Surgery within the Head & Neck)
1127 WILSHIRE BLVD, SUITE 1604
LOS ANGELES, CA 90017
Specialist
1127 WILSHIRE BLVD, SUITE 507
LOS ANGELES, CA 90017
Clinic/Center (Ophthalmologic Surgery)
1127 WILSHIRE BLVD, SUITE 1515
LOS ANGELES, CA 90017
Pain Medicine (Interventional Pain Medicine)
1127 WILSHIRE BLVD, STE 820
LOS ANGELES, CA 90017
Clinic/Center (Radiology)
1127 WILSHIRE BLVD, # 100
LOS ANGELES, CA 90017

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 Tina Kevorkian's NPI number?

The NPI number for Tina Kevorkian is 1770812935. It was assigned to this individual provider in the NPPES registry on December 17, 2009.

Where is Tina Kevorkian located?

Tina Kevorkian practices at 1127 Wilshire Blvd Suite 1209, Los Angeles, CA 90017. The listed phone number is (213) 250-8888.

What is Tina Kevorkian's specialty?

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

Is Tina Kevorkian enrolled in Medicare?

Yes. Tina Kevorkian is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Tina Kevorkian was last updated on December 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.