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

Dr. Keith A Simon, OD

Individual provider Optometrist · NPI 1821069311

Dr. Keith A Simon, OD is an Optometry in Venice, California. Qualified in 1995, 31 years ago. Practices with Venice Family Clinic, a 102-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
31
Licensed in
CA
In the registry since
2006
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

604 Rose Ave Venice Family Clinic/optometry Dept
Venice, CA 90291-2767
Phone: (310) 392-8636
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 10592 TPG (CA)

Record details

NPI number1821069311
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedFebruary 1, 2006
Last updated in NPPESFebruary 18, 2021
Certification dateFebruary 18, 2021
Mailing addressPo Box 57624, Sherman Oaks, CA 91413-2624

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Venice Family Clinic — 102 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount