Active NPI
Carol Hanna Mikhail, O.D.
- Optometrist
- Valencia, CA
National Provider Identifier
1285727263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 12580TPA
- Practice address
- 23838 Valencia Blvd Ste 120
Valencia, CA 91355-5320 - Phone
- (661) 255-2050
- Fax
- (661) 255-0729
- NPI assigned
- Oct 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 12580TPA | CA | Primary |
Addresses
Primary practice location
23838 Valencia Blvd Ste 120
Valencia, CA 91355-5320
Mailing address
24212 Valencia Blvd
Valencia, CA 91355-5391
Phone (661) 255-2050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12580TPA | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648684800000",
"number": "1285727263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24212 VALENCIA BLVD",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913555391",
"telephone_number": "661-255-2050",
"fax_number": "661-255-0729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23838 VALENCIA BLVD STE 120",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913555320",
"telephone_number": "661-255-2050",
"fax_number": "661-255-0729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIKHAIL",
"first_name": "CAROL",
"middle_name": "HANNA",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2022-03-31",
"certification_date": "2022-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "12580TPA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valencia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.