Organization Active NPI

Minasvand Optometry Group Inc

  • Optometrist
  • North Hollywood, CA
National Provider Identifier
1194150656
Registry record updated Sep 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT 11567 Issued in CA
Legal business name
MINASVAND OPTOMETRY GROUP INC
Practice address
12826 Victory Blvd
Suite D
North Hollywood, CA 91606-3013
Phone
(818) 439-2021
NPI assigned
Sep 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2013

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

Authorized official

Name
Mr. Hamlet Minasvand, O.D,
Title
Ceo
Phone
(818) 439-2021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X OPT 11567 CA Primary

Addresses

Primary practice location

12826 Victory Blvd
Suite D
North Hollywood, CA 91606-3013

Mailing address

12826 Victory Blvd
Suite D
North Hollywood, CA 91606-3013
Phone (818) 439-2021

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378166400000",
    "number": "1194150656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12826 VICTORY BLVD",
            "address_2": "SUITE D",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063013",
            "telephone_number": "818-439-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12826 VICTORY BLVD",
            "address_2": "SUITE D",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063013",
            "telephone_number": "818-439-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINASVAND OPTOMETRY GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-03",
        "last_updated": "2013-09-03",
        "status": "A",
        "authorized_official_last_name": "MINASVAND",
        "authorized_official_first_name": "HAMLET",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-439-2021",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "O.D,"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 11567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; 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.