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

Kosol Vipapan, OD

Individual provider Optometrist · NPI 1366552432

Kosol Vipapan, OD is an Optometry in Pasadena, California. Graduated from Southern California College of Optometry in 1995, 31 years ago. Practices as a sole proprietor, works from 3 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
31
Trained at
Southern California College of Optometry
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

1136 E Green St
Pasadena, CA 91106-2500
Phone: (626) 792-9979
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 230 S Lake Ave, Pasadena, CA 91101-4823 — (626) 792-9979
  • 1136 E Green St, Pasadena, CA 91106-2500 — (626) 792-9979

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPT10602TPA (CA)

Record details

NPI number1366552432
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedAugust 30, 2006
Last updated in NPPESApril 16, 2021
Certification dateApril 16, 2021

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduated 1995 (31 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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