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DR. ANDREW CHURCH BALFOUR O.D.
NPI 1902819568
Optometrist in Los Angeles, CA

Active since August 14, 2006PECOS Enrolled
555 S BROADWAY, LOS ANGELES, CA 90013(213) 627-5911(213) 622-8048 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Andrew Church Balfour O.d. NPPES

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

DR. ANDREW CHURCH BALFOUR O.D. (NPI 1902819568) is an individual optometrist in Los Angeles, California, licensed in California (6862T) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902819568
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. ANDREW CHURCH BALFOURCredential: O.D.
Location Address555 S BROADWAYLos Angeles, CA 90013-2301
Mailing Address555 S BroadwayLos Angeles, CA 90013-2301 · (213) 627-5911 · Fax (213) 622-8048
Phone(213) 627-5911
Fax(213) 622-8048
Sole ProprietorNo
Enumeration DateAugust 14, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1902819568 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 · 6862T
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.
555 S BROADWAY, Los Angeles, CA 90013
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINT70147CA
Medicare ID-Type UnspecifiedWOP6862B
MedicaidSD0068620CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Andrew Church Balfour 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.

Medicare Billing Reassignment

Medicare enrollment records show Andrew Balfour reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Andrew Balfour & Robert Shapiro
Same address
Optometrist
555 S BROADWAY
Los Angeles, CA 90013
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
NPI 1740357698 (213) 627-5911

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90013 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.

DR. ROBERT LLOYD SHAPIRO O.D.
Optometrist
555 S BROADWAY
LOS ANGELES, CA 90013
Los Angeles County (213) 627-5911
ANDREW BALFOUR & ROBERT SHAPIRO
Optometrist
555 S BROADWAY
LOS ANGELES, CA 90013
Los Angeles County (213) 627-5911

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 Andrew Balfour's NPI number?

The NPI number for Andrew Balfour is 1902819568. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Where is Andrew Balfour located?

Andrew Balfour practices at 555 S Broadway, Los Angeles, CA 90013. The listed phone number is (213) 627-5911.

What is Andrew Balfour's specialty?

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

Is Andrew Balfour enrolled in Medicare?

Yes. Andrew Balfour is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Andrew Balfour's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Balfour reassigns Medicare benefits to Andrew Balfour & Robert Shapiro (Los Angeles, CA). The 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 Andrew Balfour's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew Balfour accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Andrew Balfour 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 Andrew Balfour was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.