Andy Keith Kongsakul, O.D.
Optometrist · Reseda, CA
Andy Keith Kongsakul, O.D. is an optometrist with a practice address in Reseda, California, and NPI 1497949267, issued on Sep 4, 2007. Check the license (California 13639T, as entered in NPPES) with the California board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Andy Keith Kongsakul
- Credential
- O.D.
- Primary taxonomy
- Optometrist 152W00000X
- License numbers
- 13639T CA
TUV007213-1 NY
Self-reported in NPPES; status is on the state search - Practice location
- 19636 Sherman Way, Reseda, CA 91335
- Phone
- (818) 774-2020
- Enumerated
- Sep 4, 2007
- Record last updated
- Jun 9, 2026
- Fax
- (818) 774-2021
- Medicaid ID
- 1649400920 CA
- Medicare enrollment
- Enrolled (PECOS I20090909000442); may accept Medicare assignment
- Entity
- Type 1 · individual
8 nearest optometrist records → All 8,308 in California → Look up another NPI →
Also registered at 19636 Sherman Way
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Kristal Kawamoto, O.D.Optometrist1730335845
- Mayra Lazo, ODOptometrist1023898566
- Negin Nikahd, ODOptometrist1093154932
Verify Andy Keith Kongsakul in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich California board licenses this profession
Search for license 13639TCheck the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $57.03
3 payments; by number, the most common kind was food and beverage; the largest payer was Alcon Vision LLC. The 34,453 providers of this specialty with any payment received $769.99 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through 2 group practices
- EL Portal Optometry IncNorth Hollywood, CA
- Valley Optometry Eyecare Center, Inc.Reseda, CA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Andy Keith Kongsakul among 8,308 optometrist records in California
Andy Keith Kongsakul, O.D. is one of 8,308 optometrist records with a practice address in California. 67% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 34% of them.
- NPI issued2007 · 34% of these records are older, 46% newer
- In a Medicare fileYes · 67% of these records are
- In the CMS Doctors and Clinicians fileYes · 43% of these records are
- Graduated2007 · median 2008 among the 3,573 with a school on file
- Record last updated2026 · 67% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 152W00000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
9 optometrist records list a practice address in Reseda
They are 9 of the 773 NPPES records with a practice address in Reseda, and 8,308 optometrist records in California.
All 8,308 in California → Every provider in Reseda → Optometrist nationwide →
The 8 optometrist records with the nearest ZIP codes
- Hooria Bahram, O.D.Reseda, CA 913351851532147
- Elizabeth Camara, ODReseda, CA 913351952383507
- Kristal Kawamoto, O.D.Reseda, CA 913351730335845
- Catherine Kim, O.D.Reseda, CA 913351720333693
- Mayra Lazo, ODReseda, CA 913351023898566
- Negin Nikahd, ODReseda, CA 913351093154932
- Sarah Spahi, O.D.Reseda, CA 913351124501622
- Arbi Zadoorian, ODReseda, CA 913351629810361
Common questions
What is Andy Keith Kongsakul, O.D.'s NPI number?
Andy Keith Kongsakul, O.D.'s National Provider Identifier (NPI) is 1497949267, issued on Sep 4, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Andy Keith Kongsakul, O.D. located?
The NPPES record lists a practice address at 19636 Sherman Way, Reseda, CA, 91335. Phone: (818) 774-2020. Providers update this record themselves, so call before visiting.
How can I verify Andy Keith Kongsakul, O.D.'s license?
NPPES lists California license number 13639T, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.