Larry Jay Gottlieb, OD in Lakewood, CA - Medicare Optometrist Provider

Larry Jay Gottlieb, OD is a medicare enrolled "Optometrist" provider in Lakewood, California. His current practice location is 6418 Del Amo Blvd, Lakewood, California. You can reach out to his office (for appointments etc.) via phone at (562) 420-2055.

Larry Jay Gottlieb is licensed to practice in California (license number 6451T) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1609900653.

Contact Information

	Larry Jay Gottlieb, OD
	6418 Del Amo Blvd, Lakewood, CA 90713-2204
	(562) 420-2055
	(562) 420-1784

Map and Direction

Healthcare Provider's Profile

Full Name	Larry Jay Gottlieb
Gender	Male
Speciality	Optometrist
Location	6418 Del Amo Blvd, Lakewood, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609900653
Provider Enumeration Date: 03/14/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 7517945876
Enrollment ID: I20150724011444

Medical Identifiers

Medical identifiers for Larry Jay Gottlieb such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609900653	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	6451T (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Larry Jay Gottlieb allows following entities to bill medicare on his behalf.

Provider Name	Larry J Gottlieb Inc A Professional Corporation
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1013176130 PECOS PAC ID: 8527046887 Enrollment ID: O20040712001609

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Larry Jay Gottlieb is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Larry Jay Gottlieb, OD 6418 Del Amo Blvd, Lakewood, CA 90713-2204 Ph: (562) 420-2055	Larry Jay Gottlieb, OD 6418 Del Amo Blvd, Lakewood, CA 90713-2204 Ph: (562) 420-2055

Reviews and Comments

Optometrist in Lakewood, CA

Dr Gottlieb Optometry Optometrist Medicare: Medicare Enrolled Practice Location: 6418 E Del Amo Blvd, Lakewood, CA 90713 Phone: 562-420-2055 Fax: 562-420-1784
Sandra S Lin-lee, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2770 Carson St, Lakewood, CA 90712 Phone: 562-497-9476
Dr. Phung Quach, Od Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 11421 Carson St Ste F, Lakewood, CA 90715 Phone: 562-402-1900
Firstsight Vision Services, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2770 Carson St, Lakewood, CA 90712 Phone: 562-497-9476 Fax: 562-497-9369
Esther C Park, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 63 Lakewood Center Mall, Lakewood, CA 90712 Phone: 562-634-2442
Dr. Hemali Bhakta Jardosh, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 340 Lakewood Center Mall, Lakewood, CA 90712 Phone: 562-602-6100 Fax: 562-295-1520
Diane Tran, O.d., Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 141 Lakewood Center Mall, Inside Target Optical, Lakewood, CA 90712 Phone: 562-529-3298

Larry Jay Gottlieb, OD - Medicare Optometrist in Lakewood, CA