Individual provider · Type 1 NPI

Andy Keith Kongsakul, OD

Optometrist · Reseda, CA

NPI number 1497949267 Active

Practice location

19636 Sherman Way
Reseda, CA 91335-3647

Fax (818) 774-2021

Other practice locations

  • 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 and licenses

TaxonomyCodeLicense
Optometrist 152W00000X13639T (CA)
Optometrist Primary 152W00000XTUV007213-1 (NY)

Optometrist: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional e…

4 other providers at this address

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About NPI 1497949267

Andy Keith Kongsakul, OD's National Provider Identifier is 1497949267, issued on Sep 4, 2007. The primary taxonomy on file is Optometrist (152W00000X), and the practice location is in Reseda, CA. The record was last updated on Jun 9, 2026.