Organization Active NPI

Rad Optometric Care Inc

  • Optometrist
  • Sherman Oaks, CA
National Provider Identifier
1245745215
Registry record updated Dec 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
15069 Issued in CA
Legal business name
RAD OPTOMETRIC CARE INC
Practice address
14006 Riverside Dr Ste 274
Sherman Oaks, CA 91423-1963
Phone
(818) 461-0595
Fax
(818) 461-0596
NPI assigned
Dec 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2017

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

Authorized official

Name
Aliona Radzinsky, OD
Title
Managing Optometrist
Phone
(323) 428-8326

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 15069 CA Primary

Addresses

Primary practice location

14006 Riverside Dr Ste 274
Sherman Oaks, CA 91423-1963

Mailing address

17840 Margate St
Encino, CA 91316-2223
Phone (323) 428-8326

National Provider Directory

National Provider Directory

Locations

7324 Canby Ave
Reseda, CA 91335
Phone (818) 705-3404

NPI Registry JSON

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

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513036800000",
    "number": "1245745215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17840 MARGATE ST",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913162223",
            "telephone_number": "323-428-8326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14006 RIVERSIDE DR STE 274",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914231963",
            "telephone_number": "818-461-0595",
            "fax_number": "818-461-0596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAD OPTOMETRIC CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-12",
        "last_updated": "2017-12-12",
        "status": "A",
        "authorized_official_last_name": "RADZINSKY",
        "authorized_official_first_name": "ALIONA",
        "authorized_official_title_or_position": "MANAGING OPTOMETRIST",
        "authorized_official_telephone_number": "323-428-8326",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; 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.