Individual provider Active NPI

Movses D'Janbatian, O.D.

  • Optometrist
  • Glendale, CA
National Provider Identifier
1043284359
Registry record updated Sep 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
07776TPL Issued in CA
Practice address
330 N Brand Blvd
Suite 110
Glendale, CA 91203-2308
Phone
(818) 241-4921
Fax
(818) 241-0468
NPI assigned
Feb 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 07776TPL CA Primary

Addresses

Primary practice location

330 N Brand Blvd
Suite 110
Glendale, CA 91203-2308

Mailing address

330 N Brand Blvd
Suite 110
Glendale, CA 91203-2308
Phone (818) 241-4921

Other identifiers 1

IdentifierTypeStateIssuer
SD0077760MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111228000658 CA Practitioner - Optometry 7911061882 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Movses Djanbatian O D IncGroup PAC ID 2466639059, 4 clinicians
Brand Optometry a Prof CorpGroup PAC ID 3870025513, 5 clinicians

Practice addresses (Care Compare)

330 N Brand Blvd
Suite 110
Glendale, CA 91203-2308
Phone (818) 241-4921

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07776TPLCAMDOptometrist
7776CAMDPediatric Physical Therapist

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221696000000",
    "number": "1043284359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 N BRAND BLVD",
            "address_2": "SUITE 110",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032308",
            "telephone_number": "818-241-4921",
            "fax_number": "818-241-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N BRAND BLVD",
            "address_2": "SUITE 110",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032308",
            "telephone_number": "818-241-4921",
            "fax_number": "818-241-0468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'JANBATIAN",
        "first_name": "MOVSES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2008-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "07776TPL",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0077760",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.