Individual provider Active NPI

Arlene Tania Yepremian, O.D.

  • Optometrist
  • Glendale, CA
National Provider Identifier
1265463145
Registry record updated Aug 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12022T Issued in CA
Practice address
839 N Glendale Ave
Glendale, CA 91206-2128
Phone
(818) 240-3937
Fax
(818) 240-3933
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 12022T CA Primary

Addresses

Primary practice location

839 N Glendale Ave
Glendale, CA 91206-2128

Mailing address

839 N Glendale Ave
Glendale, CA 91206-2128
Phone (818) 240-3937

Other identifiers 1

IdentifierTypeStateIssuer
SD0120220MedicaidCA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20101207000921 CA Practitioner - Optometry 3476740176 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

839 N Glendale Ave
Glendale, CA 91206-2128
Phone (818) 240-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12022TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Arlene T. Yepremian, O.D. a Professional Corporation Optometrist CurrentSince Jan 8, 2009 Accepting new patients
Linden Optometry a Professional Corporation Optometrist PastSince Mar 1, 1999 Accepting new patients

Locations

839 N Glendale Ave
Glendale, CA 91206
Phone (818) 240-3937

477 E Colorado Blvd
Pasadena, CA 91101
Phone (626) 796-1191

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187049600000",
    "number": "1265463145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 N GLENDALE AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912062128",
            "telephone_number": "818-240-3937",
            "fax_number": "818-240-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 N GLENDALE AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912062128",
            "telephone_number": "818-240-3937",
            "fax_number": "818-240-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEPREMIAN",
        "first_name": "ARLENE",
        "middle_name": "TANIA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12022T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0120220",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.