Michael V. Terzian, O.D., a Professional Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

License

12364 Issued in CA

Legal business name

MICHAEL V. TERZIAN, O.D., A PROFESSIONAL CORPORATION

Practice address

11151 Tampa Ave
Northridge, CA 91326-2254

Phone

(818) 366-9664

Fax

(818) 368-5314

NPI assigned

Aug 7, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Michael Varoujan Terzian, O.D.NPI 1134253693

Title

President

Phone

(818) 366-9664

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Porter Ranch Optometry Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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

• Michael Varoujan Terzian, O.D.

  • Optometrist
  • Northridge, CA
  • NPI 1134253693
  Medicare reassignment Care Compare group NPD Authorized official
• Janice Sirima Paknejad, O.D.

  • Optometrist
  • Brighton, MA
  • NPI 1164534780

  CA

  Medicare reassignment Care Compare group NPD
• Mariam Khalid, OD

  • Optometrist
  • Northridge, CA
  • NPI 1083271027
  NPD (past)

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465516800000",
    "number": "1336496587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11151 TAMPA AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913262254",
            "telephone_number": "818-366-9664",
            "fax_number": "818-368-5314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11151 TAMPA AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913262254",
            "telephone_number": "818-366-9664",
            "fax_number": "818-368-5314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL V. TERZIAN, O.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-07",
        "last_updated": "2016-06-10",
        "status": "A",
        "authorized_official_last_name": "TERZIAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "VAROUJAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-366-9664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336496587",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Porter Ranch Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Northridge, CA
• Providers in Northridge, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; 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.