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

Individual provider Optometrist · NPI 1811275654

Dr. Jonovan Ottenbacher, OD is an Optometry in Los Angeles, California. Graduated from University of Houston - College of Optometry in 2011, 15 years ago. Practices with Hawaii Permanente Medical Group Inc, a 705-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
15
Trained at
University of Houston - College of Optometry
Licensed in
CA
In the registry since
2011
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

6333 W 3rd St #708
Los Angeles, CA 90036-3109
Phone: (323) 936-5140
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 14235 (CA)

Record details

NPI number1811275654
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedJuly 27, 2011
Last updated in NPPESJuly 27, 2011

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolUNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Graduated 2011 (15 years in practice)
Group practice Hawaii Permanente Medical Group Inc — 705 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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