Wizard of Eyes Optical

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

WIZARD OF EYES OPTICAL

Practice address

17205 Ventura Blvd Unit a
Encino, CA 91316-4007

Phone

(818) 784-3333

Fax

(818) 783-4438

NPI assigned

Oct 19, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Jason Ned Weiser, OPTICAN

Title

Owner

Phone

(818) 784-3333

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1235680802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17205 VENTURA BLVD UNIT A",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164007",
            "telephone_number": "818-784-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17205 VENTURA BLVD UNIT A",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164007",
            "telephone_number": "818-784-3333",
            "fax_number": "818-783-4438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIZARD OF EYES OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "WEISER",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "NED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-784-3333",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICAN"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Obrien Winslow
• Cynthia M Wirth, RN
• Wisdom Center Foundation
• Breanna Wise
• Jan Renee Witkoski-Fields, PSY.D.
• Brian Wohlmuth, M.A.
• Lisa Elaine Wolf, PSY.D.
• Elizabeth Wolfe, DDS
• Lawrence Alan Wolff, DDS
• Patrick Joseph Wolff, DDS

• Non-Pharmacy Dispensing Site in Encino, CA
• Providers in Encino, CA by specialty
• Non-Pharmacy Dispensing Site in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.