Lusine Vardanyan, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

33978TLG Issued in CA

Practice address

1112 W Burbank Blvd Ste 204
Burbank, CA 91506

Phone

(818) 846-9075

NPI assigned

Jul 11, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

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.

• Burbank Family Optometry Inc

  • Low Vision Rehabilitation Optometrist
  • Burbank, CA
  • NPI 1114069390
  Medicare reassignment
• Jeremy Andia Optometry, Professional Corporation

  • Optometrist
  • Burbank, CA
  • NPI 1972456911
  NPD (past)

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1154807345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 W BURBANK BLVD STE 204",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915061455",
            "telephone_number": "818-846-9075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 W BURBANK BLVD STE 204",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "91506",
            "telephone_number": "818-846-9075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 W Verdugo Ave",
            "address_purpose": "LOCATION",
            "city": "Burbank",
            "state": "CA",
            "postal_code": "91506",
            "country_code": "US",
            "telephone_number": "818-843-1141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARDANYAN",
        "first_name": "LUSINE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-11",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "33978TLG",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "CA",
            "license": "33978TLG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33978TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Vang
• Vanguard Home Health Care Inc
• Varand Kerikorian, DDS a Professional Dental Corp
• Varand Kerikorian, DDS a Professional Dental Corp
• Galina Vardanyan, O.D.
• Marina Vardanyan
• Marina Vardanyan, M.D, PHD
• Olga Vardanyan, C.N.S., M.D., PH.D
• Hike Michael Vardazaryan, DC
• Vardui Asiryan MD Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; 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.