DR. JONOVAN OTTENBACHER OD
NPI 1811275654
Optometrist in Los Angeles, CA
About Dr. Jonovan Ottenbacher Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JONOVAN OTTENBACHER OD (NPI 1811275654) is an individual optometrist in Los Angeles, California, licensed in California (14235) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS and is a graduate of University Of Houston - College Of Optometry (2011).
NPPES Registry Identity
Specialties & Licenses
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 and accepts Medicare assignment
Dr. Jonovan Ottenbacher Od 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90036 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LOS ANGELES, CA 90036
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 Jonovan Ottenbacher's NPI number?
The NPI number for Jonovan Ottenbacher is 1811275654. It was assigned to this individual provider in the NPPES registry on July 27, 2011.
Where is Jonovan Ottenbacher located?
Jonovan Ottenbacher practices at 6333 W 3rd St #708, Los Angeles, CA 90036. The listed phone number is (323) 936-5140.
What is Jonovan Ottenbacher's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Jonovan Ottenbacher enrolled in Medicare?
Yes. Jonovan Ottenbacher 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.
What insurance does Jonovan Ottenbacher accept?
Health plans from Kaiser Permanente list Jonovan Ottenbacher 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 Jonovan Ottenbacher was last updated on July 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Dr. Jonovan Ottenbacher, OD · NPI 1811275654
Optometrist provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since July 27, 2011.
## Identity
- **NPI:** 1811275654 (Entity type: Individual)
- **Enumerated:** July 27, 2011
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 14235 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6333 W 3RD ST, #708, Los Angeles, CA 90036-3109
- **Phone:** (323) 936-5140
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Medical school:** University Of Houston - College Of Optometry, class of 2011
## Record status
- **NPPES last updated:** July 27, 2011
---
Source: [NPI Profile](https://npiprofile.com/npi/1811275654) · Data from the CMS NPPES public registry.