GRACE CHOI (O.D) – Optometrist, NPI 1972596708

GRACE CHOI (O.D) is a healthcare provider. based in Los angeles, California. specializing in OPTOMETRY. They hold the professional credentials O.D. They hold a License No. OPT 12396 (CA). The NPI Number for GRACE CHOI (O.D) is 1972596708

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
GRACE CHOI (O.D)
NPI
1972596708
Phone
(323) 931-3636
Address
401 S BURNSIDE AVE
Enumeration Date
26 August 2005
Last Update Date
30 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3238572673
Graduation Year
2003 (23 years ago)
PAC ID
1759350390
Group Practice PAC ID
6002729175
Professional Enrollment ID
I20040929001208
Address ID
CA900354603LO1843XBLVD600

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

3,909 OPTOMETRY in CA

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Provider Addresses for GRACE CHOI (O.D)

  • 401, South Burnside Avenue, Park La Brea, Mid-Wilshire, Los Angeles, Los Angeles County, California, 90036, United States

    #1L

    LOS ANGELES, CA 900365372

    Phone: (323) 931-3636

    Type: Mailing

  • Kaiser Permanente West Los Angeles Medical Center, 6041, Cadillac Avenue, Mid-City, Los Angeles, Los Angeles County, California, 90034, United States

    LOS ANGELES, CA 900341702

    Phone: (323) 857-2673

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $125.

Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.

Last reported payment date: 2024-03-06 • Largest payer in this snapshot: Tarsus Pharmaceuticals, Inc. ($125).

Total Amount

$125

General + Research + Ownership

Payments

1

Total payment records

General Amount

$125

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-09-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040929001208IOptometryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90036)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002729175View full group profile
NameSpecialtyState
U R O L O G YOH
Nurse PractitionerCA
Internal MedicineCA
Internal MedicineCA
Internal Medicine, GastroenterologyCA
Physician AssistantCA
Emergency MedicineNC
O P H T H A L M O L O G YCA
Anesthesiology, Pain ManagementNH
Family Practice, Sports MedicineCA

Reviews

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Frequently asked questions

Can I use this page to confirm GRACE CHOI (O.D)'s NPI?
Yes. GRACE CHOI (O.D) is listed with NPI 1972596708 in the public NPI dataset.
Is GRACE CHOI (O.D) listed as active for patients and plans?
The listing shows GRACE CHOI (O.D) as active in the NPI system.
What is GRACE CHOI (O.D)'s specialty?
The listing groups GRACE CHOI (O.D) with Optometrist. Clinical services aligned with this taxonomy classification.
Where is GRACE CHOI (O.D) based?
GRACE CHOI (O.D) is tied to Los Angeles, California in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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