Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ANDY KEITH KONGSAKUL, O.D.
Active Sole ProprietorDR. ANDY KEITH KONGSAKUL, O.D. is a Optometrist healthcare provider located in RESEDA, California. NPI 1497949267 is currently active in the NPPES registry. Verify at CMS.
Optometrist · RESEDA, CA
Registration Details
- NPI Number
- 1497949267
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 4, 2007 (18.924152331619 yrs)
- Last Updated
- Jan 5, 2022
- Licenses
-
13639T (CA)TUV007213-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
19636 SHERMAN WAYRESEDA, CA, 913353647Browse CA providers · Browse ZIP 91335
- Phone
- 8187742020
- Fax
- 8187742021
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Optometrist
Other Optometrist Providers in RESEDA, CA
| Name | Credential | NPI |
|---|---|---|
| DR. ELIZABETH CAMARA | OD | 1952383507 |
| MRS. HOORIA BAHRAM | O.D. | 1851532147 |
| CATHERINE KIM | O.D. | 1720333693 |
| NEGIN NIKAHD | OD | 1093154932 |
| SARAH SPAHI | O.D. | 1124501622 |
| ARBI ZADOORIAN | OD | 1629810361 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.