Individual provider Active NPI

Preny Honarchian, OD

  • Optometrist
  • Glendale, CA
National Provider Identifier
1124547914
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
33837TLG Issued in CA
Practice address
1101 Glendale Galleria
Glendale, CA 91210-1301
Phone
(818) 552-4450
Fax
(818) 552-4445
NPI assigned
Sep 13, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 33837TLG CA Primary

Addresses

Primary practice location

1101 Glendale Galleria
Glendale, CA 91210-1301

Mailing address

1101 Glendale Galleria
Glendale, CA 91210-1301
Phone (818) 552-4450

Other practice location 1

26471 Carl Boyer Dr
Santa Clarita, CA 91350-2996
Phone (661) 288-2068

Other practice location 2

44665 Valley Central Way
Lancaster, CA 93536-6500
Phone (661) 942-7007

Other practice location 3

1601 W Verdugo Ave
Burbank, CA 91506-2101
Phone (818) 843-1141

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
33837TLGCAMDOptometrist
33837CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1124547914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 GLENDALE GALLERIA",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912101301",
            "telephone_number": "818-552-4450",
            "fax_number": "818-552-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 GLENDALE GALLERIA",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912101301",
            "telephone_number": "818-552-4450",
            "fax_number": "818-552-4445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26471 Carl Boyer Dr",
            "address_purpose": "LOCATION",
            "city": "Santa Clarita",
            "state": "CA",
            "postal_code": "913502996",
            "country_code": "US",
            "telephone_number": "661-288-2068",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44665 Valley Central Way",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "CA",
            "postal_code": "935366500",
            "country_code": "US",
            "telephone_number": "661-942-7007",
            "fax_number": "866-926-9833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1601 W Verdugo Ave",
            "address_purpose": "LOCATION",
            "city": "Burbank",
            "state": "CA",
            "postal_code": "915062101",
            "country_code": "US",
            "telephone_number": "818-843-1141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HONARCHIAN",
        "first_name": "PRENY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-13",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33837TLG",
            "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 Mar 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.