Hillside Optometry Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

HILLSIDE OPTOMETRY INC

Practice address

16907 San Fernando Mission Blvd
Granada Hills, CA 91344-4250

Phone

(818) 474-2020

NPI assigned

Nov 15, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Andy Kongsakul, ODNPI 1497949267

Title

President

Phone

(818) 474-2020

Specialties & licenses 1

Addresses

Other names 2

• Hillside Optometry Doing business as
• Valley Optometry Eyecare of Granada Hills Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andy Keith Kongsakul, O.D.

  • Optometrist
  • Reseda, CA
  • NPI 1497949267
  Medicare reassignment NPD Authorized official
• Zi-Lin Linda Weng, OD

  • Optometrist
  • Granada Hills, CA
  • NPI 1174300768
  Medicare reassignment NPD
• Hovhannes Hovhannisyan, OD

  • Corneal and Contact Management Optometrist
  • Vernon, CA
  • NPI 1508505835
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1457060857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16907 SAN FERNANDO MISSION BLVD",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913444250",
            "telephone_number": "818-474-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16907 SAN FERNANDO MISSION BLVD",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913444250",
            "telephone_number": "818-474-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLSIDE OPTOMETRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-15",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "KONGSAKUL",
        "authorized_official_first_name": "ANDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-474-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hillside Optometry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Valley Optometry Eyecare of Granada Hills",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Granada Hills, CA
• Providers in Granada Hills, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.