Organization Active NPI

Glenview Optical

  • Eyewear Supplier
  • Glendale, CA
National Provider Identifier
1205171394
Registry record updated Nov 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
SL74 Issued in CA
Legal business name
GLENVIEW OPTICAL
Practice address
515 N Central Ave
Glendale, CA 91203-3388
Phone
(818) 247-5910
Fax
(818) 247-5919
NPI assigned
Nov 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2012

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

Authorized official

Name
George Alvardo, D.O.
Title
Owner/Optician
Phone
(818) 247-5910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X SL74 CA Primary

Addresses

Primary practice location

515 N Central Ave
Glendale, CA 91203-3388

Mailing address

515 N Central Ave
Glendale, CA 91203-3388
Phone (818) 247-5910

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ74745ZMedicaidCA

National Provider Directory

National Provider Directory

Locations

515 N Central Ave
Glendale, CA 91203
Phone (818) 247-5910

NPI Registry JSON

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

{
    "created_epoch": "1354233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354233600000",
    "number": "1205171394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 N CENTRAL AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912033388",
            "telephone_number": "818-247-5910",
            "fax_number": "818-247-5919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N CENTRAL AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912033388",
            "telephone_number": "818-247-5910",
            "fax_number": "818-247-5919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENVIEW OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-30",
        "last_updated": "2012-11-30",
        "status": "A",
        "authorized_official_last_name": "ALVARDO",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER/OPTICIAN",
        "authorized_official_telephone_number": "818-247-5910",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CA",
            "license": "SL74",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ74745Z",
            "state": "CA"
        }
    ],
    "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 Nov 30, 2012; 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.