Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Andy Keith Kongsakul, OD

Individual provider Optometrist · NPI 1497949267

Dr. Andy Keith Kongsakul, OD is an Optometry in Reseda, California. Qualified in 2007, 19 years ago. Practices with Valley Optometry Eyecare Center, Inc, a 3-clinician group and works from 3 locations. Licensed in California and New York.

Years since qualifying
19
Licensed in
CA, NY
In the registry since
2007
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

19636 Sherman Way
Reseda, CA 91335-3647
Phone: (818) 774-2020
Fax: (818) 774-2021
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 16907 San Fernando Mission Blvd, Granada Hills, CA 91344-4250 — (818) 474-2020
  • 5269 Lankershim Blvd, North Hollywood, CA 91601-3111 — (818) 769-2020

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence TUV007213-1 (NY)
Optometrist Taxonomy 152W00000X · Licence 13639T (CA)

Record details

NPI number1497949267
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedSeptember 4, 2007
Last updated in NPPESJune 9, 2026
Certification dateJune 9, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Valley Optometry Eyecare Center, Inc. — 3 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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