Organization Active NPI

Aykanush Sungulyan OD a Professional Corporation

  • Corneal and Contact Management Optometrist
  • Sherman Oaks, CA
National Provider Identifier
1275103608
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
Legal business name
AYKANUSH SUNGULYAN OD A PROFESSIONAL CORPORATION
Practice address
4518 Van Nuys Blvd
Sherman Oaks, CA 91403-2913
Phone
(818) 501-6475
NPI assigned
Jun 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Authorized official

Name
Dr. Aykanush Sungulyan, ODNPI 1053464354
Title
Optometrist
Phone
(818) 395-1852

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Corneal and Contact Management OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WC0802X Primary

Addresses

Primary practice location

4518 Van Nuys Blvd
Sherman Oaks, CA 91403-2913

Mailing address

4518 Van Nuys Blvd
Sherman Oaks, CA 91403-2913
Phone (818) 501-6475

Other practice location 1

4842 Van Nuys Blvd
Sherman Oaks, CA 91403-2101
Phone (818) 787-5858

Other identifiers 1

IdentifierTypeStateIssuer
1053464354OtherCANPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250701002787 CA Part B Supplier - Clinic/Group Practice 1759894983 Receives reassigned benefits from 1 practitioner
Practice locations: Sherman Oaks, CA

National Provider Directory

National Provider Directory

Locations

4842 Van Nuys Blvd
Sherman Oaks, CA 91403
Phone (818) 395-1852

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750982400000",
    "number": "1275103608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4518 VAN NUYS BLVD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914032913",
            "telephone_number": "818-501-6475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4518 VAN NUYS BLVD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914032913",
            "telephone_number": "818-501-6475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4842 Van Nuys Blvd",
            "address_purpose": "LOCATION",
            "city": "Sherman Oaks",
            "state": "CA",
            "postal_code": "914032101",
            "country_code": "US",
            "telephone_number": "818-787-5858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AYKANUSH SUNGULYAN OD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-28",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A",
        "authorized_official_last_name": "SUNGULYAN",
        "authorized_official_first_name": "AYKANUSH",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "818-395-1852",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1053464354",
            "state": "CA"
        }
    ],
    "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 Jun 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.