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PAULA TESSALEE LIMCHAIYAWAT O.D.
NPI 1922430495
Optometrist in Los Angeles, CA

Active since August 06, 2013PECOS EnrolledAccepts Medicare Assignment
334B E 2ND ST, LOS ANGELES, CA 90012(213) 628-7419 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Paula Tessalee Limchaiyawat O.d. NPPES

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

PAULA TESSALEE LIMCHAIYAWAT O.D. (NPI 1922430495) is an individual optometrist in Los Angeles, California, licensed in California (14978) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (2013).

NPPES Registry Identity

NPI1922430495
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NamePAULA TESSALEE LIMCHAIYAWATCredential: O.D.
Location Address334B E 2ND STLos Angeles, CA 90012-4203
Mailing Address19629 Paseo De SevillaWalnut, CA 91789-2122 · (909) 979-4259
Phone(213) 628-7419
Sole ProprietorYes
Medical School CMSNew England College Of OptometryGraduated 2013
Enumeration DateAugust 6, 2013
Last NPPES UpdateNovember 29, 2021
NPPES CertifiedNovember 29, 2021
✔ NPI 1922430495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in CA · 14978✔ Licensed in PA · OEG002795
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.
334B E 2ND ST, Los Angeles, CA 90012
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Paula Tessalee Limchaiyawat 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 ID6002138872
PECOS Enrollment IDI20141205000181
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 Paula Limchaiyawat reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
4.6 mi
Health Maintenance Organization
4760 W SUNSET BLVD
Los Angeles, CA 90027
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1396287082 (California)
  • 13,921 clinicians in this Medicare group
NPI 1134151657 (323) 783-4011

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 90012 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.

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 Paula Limchaiyawat's NPI number?

The NPI number for Paula Limchaiyawat is 1922430495. It was assigned to this individual provider in the NPPES registry on August 6, 2013.

Where is Paula Limchaiyawat located?

Paula Limchaiyawat practices at 334B E 2nd St, Los Angeles, CA 90012. The listed phone number is (213) 628-7419.

What is Paula Limchaiyawat's specialty?

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

Is Paula Limchaiyawat enrolled in Medicare?

Yes. Paula Limchaiyawat 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.

Which organization bills Medicare for Paula Limchaiyawat's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paula Limchaiyawat reassigns Medicare benefits to Southern California Permanente Medical Group (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 Paula Limchaiyawat's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Paula Limchaiyawat was last updated on November 29, 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.