Organization Active NPI

Precision Optometric Care Inc

  • Optometrist
  • Glendale, CA
National Provider Identifier
1144631763
Registry record updated Oct 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13048TPL Issued in CA
Legal business name
PRECISION OPTOMETRIC CARE INC
Doing business as
Hermineh Moradi O.D.
Practice address
1577 E Chevy Chase Dr
Suite 120
Glendale, CA 91206-4107
Phone
(818) 937-9980
Fax
(818) 937-9980
NPI assigned
May 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2014

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

Authorized official

Name
Dr. Hermineh Moradi, O.D.
Title
President/Optometrist
Phone
(818) 937-9980

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 13048TPL CA Primary

Addresses

Primary practice location

1577 E Chevy Chase Dr
Suite 120
Glendale, CA 91206-4107

Mailing address

1577 E Chevy Chase Dr
Suite 120
Glendale, CA 91206-4107
Phone (818) 937-9980

Other identifiers 2

IdentifierTypeStateIssuer
1144631763OtherCAGROUP NPI
1922298314OtherCANPI

Other names 1

  • Hermineh Moradi O.D. Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412294400000",
    "number": "1144631763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1577 E CHEVY CHASE DR",
            "address_2": "SUITE 120",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064107",
            "telephone_number": "818-937-9980",
            "fax_number": "818-937-9983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1577 E CHEVY CHASE DR",
            "address_2": "SUITE 120",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064107",
            "telephone_number": "818-937-9980",
            "fax_number": "818-937-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION OPTOMETRIC CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-16",
        "last_updated": "2014-10-03",
        "status": "A",
        "authorized_official_last_name": "MORADI",
        "authorized_official_first_name": "HERMINEH",
        "authorized_official_title_or_position": "PRESIDENT/OPTOMETRIST",
        "authorized_official_telephone_number": "818-937-9980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13048TPL",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1144631763",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1922298314",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hermineh Moradi O.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 3, 2014; 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.