California Eye Center Optometry Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

14869 Issued in CA

Legal business name

CALIFORNIA EYE CENTER OPTOMETRY INC

Practice address

14624 Sherman Way
Suite# 204
Van Nuys, CA 91405-2287

Phone

(818) 780-2020

Fax

(818) 561-3661

NPI assigned

Apr 25, 2014

Last updated

Jun 16, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Harout Khanjian, O.D.NPI 1467878249

Title

Owner/Doctor/President

Phone

(818) 780-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Harout Khanjian, O.D.

  • Optometrist
  • Van Nuys, CA
  • NPI 1467878249
  Medicare reassignment NPD Authorized official
• Ani Ter-Nshanian, OD

  • Optometrist
  • Valencia, CA
  • NPI 1275011595
  Medicare reassignment NPD

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

{
    "created_epoch": "1398384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1316367576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14624 SHERMAN WAY",
            "address_2": "SUITE# 204",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052287",
            "telephone_number": "818-780-2020",
            "fax_number": "818-561-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14624 SHERMAN WAY",
            "address_2": "SUITE# 204",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052287",
            "telephone_number": "818-780-2020",
            "fax_number": "818-561-3661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA EYE CENTER OPTOMETRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-25",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "KHANJIAN",
        "authorized_official_first_name": "HAROUT",
        "authorized_official_title_or_position": "OWNER/DOCTOR/PRESIDENT",
        "authorized_official_telephone_number": "818-780-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "CB216293",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; 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.