Paul Super, OD
NPI 1649499807 · Optometrist · Los Angeles, CA
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Paul Super, OD is a Optometrist provider in Los Angeles, CA (NPI 1649499807).
Provider details
- NPI number
- 1649499807
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- License
- OP8867TPG (CA)
Specialties & taxonomies
Eye and Vision Services Providers
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
19 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
2 documented practice locations
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$99 across 4 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 2940 N Beverly Glen CirLos Angeles, CA 90077-1724Phone: (310) 820-2020
Registry dates
- Enumerated
- 2007-04-25
- Last updated
- 2020-12-23
- Certified
- 2020-12-18
Frequently asked questions
- What is Paul Super's NPI number?
- Paul Super's National Provider Identifier (NPI) is 1649499807, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Paul Super's specialty?
- Paul Super is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Paul Super located?
- Paul Super's practice location on file with NPPES is 11696 San Vicente Blvd, Los Angeles, CA 90049-5104.
- What is Paul Super's phone number?
- The practice phone number listed in the NPPES registry for Paul Super is (310) 820-2020.
- Does Paul Super accept Medicare?
- Paul Super is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Paul Super's NPI active?
- Yes — Paul Super's NPI (1649499807) is active in the NPPES registry as of the last update on 2020-12-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.