Jonovan Ottenbacher, OD
NPI 1811275654 · Optometrist · Los Angeles, CA
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jonovan Ottenbacher, OD is a Optometrist provider in Los Angeles, CA (NPI 1811275654).
Provider details
- NPI number
- 1811275654
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 14235 (CA)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-07-27
- Last updated
- 2011-07-27
Frequently asked questions
- What is Jonovan Ottenbacher's NPI number?
- Jonovan Ottenbacher's National Provider Identifier (NPI) is 1811275654, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jonovan Ottenbacher's specialty?
- Jonovan Ottenbacher is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Jonovan Ottenbacher located?
- Jonovan Ottenbacher's practice location on file with NPPES is 6333 W 3rd St, Los Angeles, CA 90036-3109.
- What is Jonovan Ottenbacher's phone number?
- The practice phone number listed in the NPPES registry for Jonovan Ottenbacher is (323) 936-5140.
- Does Jonovan Ottenbacher accept Medicare?
- Jonovan Ottenbacher is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jonovan Ottenbacher's NPI active?
- Yes — Jonovan Ottenbacher's NPI (1811275654) is active in the NPPES registry as of the last update on 2011-07-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.