NPIMap

Organization Active NPI

Granada Hills Optometry Center

  • Optometrist
  • Granada Hills, CA
National Provider Identifier
1376648469
Registry record updated May 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
04723T Issued in CA
Legal business name
GRANADA HILLS OPTOMETRY CENTER
Practice address
18013 Chatsworth St
Granada Hills, CA 91344-5608
Phone
(818) 366-2020
Fax
(818) 366-9868
NPI assigned
Sep 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2010

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

Authorized official

Name
Dr. Carl Melnik, ODNPI 1871553891
Title
Owner/President
Phone
(818) 366-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 04723T CA Primary

Addresses

Primary practice location

18013 Chatsworth St
Granada Hills, CA 91344-5608

Mailing address

18013 Chatsworth St
Granada Hills, CA 91344-5608
Phone (818) 366-2020

Other identifiers 2

IdentifierTypeStateIssuer
3641OtherCAMEDICAL EYE SERVICE INSUR
SD0047230 9MedicaidCA

National Provider Directory

National Provider Directory

Locations

18013 Chatsworth St
Granada Hills, CA 91344
Phone (818) 366-2020

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274745600000",
    "number": "1376648469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18013 CHATSWORTH ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445608",
            "telephone_number": "818-366-2020",
            "fax_number": "818-366-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18013 CHATSWORTH ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445608",
            "telephone_number": "818-366-2020",
            "fax_number": "818-366-9868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANADA HILLS OPTOMETRY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2010-05-25",
        "status": "A",
        "authorized_official_last_name": "MELNIK",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "818-366-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "04723T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL EYE SERVICE INSUR",
            "identifier": "3641",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0047230 9",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Granada Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; 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.