Harry E Enenstein, O. D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4796T Issued in CA

Practice address

17310 Ventura Blvd
Encino, CA 91316-3904

Phone

(818) 728-6800

NPI assigned

Dec 15, 2005

Last updated

Nov 19, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Arutyunyan Kazarian OD Corp

  • Optometrist
  • Encino, CA
  • NPI 1275185373
  Medicare reassignment
• Harry E. Enenstein, O D

  dba Optometric Center of Encino

  • Optometrist
  • Encino, CA
  • NPI 1558563072
  Authorized official Same address or phone
• Cedars-Sinai Medical Center

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1639172372
  NPD (past)

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416355200000",
    "number": "1063498616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17310 VENTURA BLVD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163904",
            "telephone_number": "818-728-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17310 VENTURA BLVD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163904",
            "telephone_number": "818-728-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENENSTEIN",
        "first_name": "HARRY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "O. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2014-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "4796T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "952689385",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD000700",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Encino Surgicenter a Medical Group
• Encino Terrace, LLC (NA)
• Encino Total Dentistry
• Encino Valley Hospice, Inc.
• Encino-Tarzana Urgent Care Center, Inc.
• Enera5 (VioGene Chalcedony Aesthetics)
• Energy Physical Therapy Inc
• Lewis Anthony Engel, M.D.
• Robert E Engstrom Jr., M.D.
• Enhance Aesthetics & Gynecology

• Optometrist in Encino, CA
• Providers in Encino, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.