Individual provider Active NPI

Emily L Vogel, O.D.

  • Optometrist
  • Beverly Hills, CA
National Provider Identifier
1336159755
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
(OPT) 12453 Issued in CA
Practice address
450 N Roxbury Dr FL 3
Third Floor
Beverly Hills, CA 90210-4238
Phone
(310) 453-8911
NPI assigned
Aug 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X (OPT) 12453 CA Primary

Addresses

Primary practice location

450 N Roxbury Dr FL 3
Third Floor
Beverly Hills, CA 90210-4238

Mailing address

10921 Wilshire Blvd
Ste 900
Los Angeles, CA 90024-4003
Phone (310) 453-8911

Other identifiers 2

IdentifierTypeStateIssuer
(OPT) 12453OtherCASTATE LICENSE
W14005OtherCAASSIL EYE INSTITUTE GROUP MEDICARE

Other names 1

  • Emily L Livieratos Former name

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

LicenseStateTypeSpecialty
(OPT) 12453CAMDOptometrist
1832NCMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1336159755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10921 WILSHIRE BLVD",
            "address_2": "STE 900",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244003",
            "telephone_number": "310-453-8911",
            "fax_number": "310-453-2519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N ROXBURY DR FL 3",
            "address_2": "THIRD FLOOR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104238",
            "telephone_number": "310-453-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOGEL",
        "first_name": "EMILY",
        "middle_name": "L",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "(OPT) 12453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "(OPT) 12453",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSIL EYE INSTITUTE GROUP MEDICARE",
            "identifier": "W14005",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "LIVIERATOS",
            "middle_name": "L",
            "credential": "O. D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.