Marianna Tovmasyan Petrosyan, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

14076 Issued in CA

Practice address

1011 Glenoaks Blvd.
San Fernando, CA 91340-1436

Phone

(818) 925-2225

Fax

(818) 925-2212

NPI assigned

Sep 22, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Southern California College of Optometry, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Marianna Petrosyan O.D. an Optometric Corporation

  • Optometrist
  • San Fernando, CA
  • NPI 1689342818

  CA, Optometrist

  Medicare reassignment NPD Authorized official
• Alan M Berg MD Inc and Robert E Feinfield MD Inc

  • Ophthalmology Physician
  • Burbank, CA
  • NPI 1164567004

  CA, Optometrist

  Medicare reassignment NPD
• Laser Eye Center Inc

  • Ophthalmology Physician
  • Los Angeles, CA
  • NPI 1417442500

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1316255508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 GLENOAKS BLVD.",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913401436",
            "telephone_number": "818-281-6148",
            "fax_number": "818-925-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 GLENOAKS BLVD.",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913401436",
            "telephone_number": "818-925-2225",
            "fax_number": "818-925-2212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2625 W Alameda Ave Ste 208",
            "address_purpose": "LOCATION",
            "city": "Burbank",
            "state": "CA",
            "postal_code": "915054823",
            "country_code": "US",
            "telephone_number": "818-845-3557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETROSYAN",
        "first_name": "MARIANNA",
        "middle_name": "TOVMASYAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-22",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ash Perez
• Maria Perez
• Maria Perez, RBT
• Regina M. Petrella
• Arman Petrosyan, D.D.S.
• Pharmamed Inc.
• Roman Pickett
• Mykie Pidor, MD
• Preferred Care Hospice, Inc.
• Pueblo Y Salud, Inc

• All providers in San Fernando, CA
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.