Michael Torossian, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

35110 Issued in CA

Practice address

2020 Colorado Ave Ste a
Turlock, CA 95382-2017

Phone

(209) 667-6211

NPI assigned

Apr 1, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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

Specialty

Optometry

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kennedy and Young OptometryGroup PAC ID 6507810967, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kennedy & Young Optometry

  dba Valley Optometric Group

  • Optometrist
  • Modesto, CA
  • NPI 1912119942
  Medicare reassignment Care Compare group NPD
• Kennedy & Young Optometry

  dba Valley Optometric Group

  • Optometrist
  • Modesto, CA
  • NPI 1639744238
  NPD

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

{
    "created_epoch": "1648771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1215677547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 COLORADO AVE STE A",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "95382",
            "telephone_number": "209-667-6211",
            "fax_number": "209-667-2574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 COLORADO AVE STE A",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822017",
            "telephone_number": "209-667-6211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1199 Delbon Ave",
            "address_2": "Suite 4",
            "address_purpose": "LOCATION",
            "city": "Turlock",
            "state": "CA",
            "postal_code": "95382",
            "country_code": "US",
            "telephone_number": "209-667-6211",
            "fax_number": "209-667-2574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOROSSIAN",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-01",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tipton Anesthesia, a Professional Anesthesia Nursing Corporation
• Deborah Todd
• Kelly D Toledo, ASW
• Phil Tyler Torkelson
• Laney Tornquist
• Lisa M Torre-Igwe, CNS, PMHNP
• Joanna Torre, PA
• Jessica Torres
• Matthew Abraham Torres
• Kathy Lee Tova, HA7430

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.