Individual provider Active NPI

Aza Pivazyan

  • Optometrist
  • North Hollywood, CA
National Provider Identifier
1336591742
Registry record updated Feb 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
33429TLG Issued in CA
Practice address
6765 Lankershim Blvd
North Hollywood, CA 91606
Phone
(818) 982-0076
NPI assigned
Jul 8, 2016
Last updated
Feb 1, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 33429TLG CA Primary

Addresses

Primary practice location

6765 Lankershim Blvd
North Hollywood, CA 91606

Mailing address

8664 Nagle Ave
Panorama City, CA 91402-4018

Other practice location 1

2068 W Avenue J
Lancaster, CA 93536-5913
Phone (661) 942-7313

Other practice location 2

2068 W Avenue J
Lancaster, CA 93536-5913
Phone (661) 942-7313

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180226001643 CA Practitioner - Optometry 9234490756 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33429TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert F. Collins Optometrist PastSince Feb 23, 2018 Accepting new patients
Sabi Israel & Robert F. Collins PTR Optometrist PastSince Dec 20, 2013 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1467936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548979200000",
    "number": "1336591742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8664 NAGLE AVE",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914024018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6765 LANKERSHIM BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "91606",
            "telephone_number": "818-982-0076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2068 W Avenue J",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "CA",
            "postal_code": "935365913",
            "country_code": "US",
            "telephone_number": "661-942-7313",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2068 W Avenue J",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "CA",
            "postal_code": "935365913",
            "country_code": "US",
            "telephone_number": "661-942-7313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIVAZYAN",
        "first_name": "AZA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-08",
        "last_updated": "2019-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33429TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

Verify at the official NPI Registry.