Individual provider Active NPI

Soseh Markarian, OD

  • Optometrist
  • Burbank, CA
National Provider Identifier
1063131456
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
000000 Issued in CA
Practice address
632 E Orange Grove Ave Apt J
Burbank, CA 91501-2843
Phone
(818) 687-6160
NPI assigned
Aug 26, 2022
Last updated
Jun 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 000000 CA Primary

Addresses

Primary practice location

632 E Orange Grove Ave Apt J
Burbank, CA 91501-2843

Mailing address

4353 Park Terrace Dr Ste 150
Westlake Village, CA 91361-4639
Phone (818) 687-6160

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
I20230501002812 CA Practitioner - Optometry 1153786983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Vision Care a California General PartnershipGroup PAC ID 1658553722, 5 clinicians

Practice addresses (Care Compare)

2080 Century Park E
Suite 911
Los Angeles, CA 90067-2012
Phone (310) 229-1220

Merit-based Incentive Payment System (MIPS)

Final score
91.19 of 100Reported as group
Quality
100
Improvement activities
40
Cost
70.65

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000000CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Vision Care a California General Partnership Single Specialty CurrentSince Mar 1, 2024 Accepting new patients

Locations

2080 Century Park E
Ste 911
Los Angeles, CA 90067
Phone (310) 229-1220

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1063131456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4353 PARK TERRACE DR STE 150",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913614639",
            "telephone_number": "818-687-6160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 E ORANGE GROVE AVE APT J",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915012843",
            "telephone_number": "818-687-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKARIAN",
        "first_name": "SOSEH",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-26",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.