Active NPI
Lillyt Ouzounian, OD
- Optometrist
- Glendale, CA
National Provider Identifier
1043039431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 35864
- Practice address
- 1101 Galleria Way
Glendale, CA 91210-1301 - Phone
- (818) 552-4450
- NPI assigned
- Oct 3, 2024
- Last updated
- May 29, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 35864 | CA | Primary |
Addresses
Primary practice location
1101 Galleria Way
Glendale, CA 91210-1301
Mailing address
1101 Galleria Way
Glendale, CA 91210-1301
Phone (818) 552-4450
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35864 | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748476800000",
"number": "1043039431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 GALLERIA WAY",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912101301",
"telephone_number": "818-552-4450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 GALLERIA WAY",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912101301",
"telephone_number": "818-552-4450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OUZOUNIAN",
"first_name": "LILLYT",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-03",
"last_updated": "2025-05-29",
"certification_date": "2025-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "35864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.