El Portal Optometry, Inc
NPI 1215212626ActiveOrganization· Optometrist· North Hollywood, CA
Optometrist in North Hollywood, California, registered in NPPES in October 2011. The authorized official on file is Andy Kongsakul, OD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1215212626 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 17, 2011 |
| Last updated in NPPES | May 21, 2025 |
| Certified by provider | May 21, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 13639 LTG | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
Other Optometrist providers in North Hollywood
- 1588309330
- 1588846364
- 1669666723
- 1194150656
- 1205272820
- 1518821636
- 1558834622
- 1487826871
- 1760409247
- 1366522492
- 1477804771
- 1891876579