Individual provider Active NPI

Van Kochkarian, O.D.

  • Optometrist
  • Glendale, CA
National Provider Identifier
1386181865
Registry record updated Oct 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
33648 Issued in CA
Practice address
330 N Brand Blvd Ste 110
Glendale, CA 91203-2308
Phone
(818) 240-0890
NPI assigned
Jan 23, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Optometrist 152WP0200X 33648-TLG CA
Optometrist 152W00000X 33648 CA Primary

Addresses

Primary practice location

330 N Brand Blvd Ste 110
Glendale, CA 91203-2308

Mailing address

10745 Owens PL
Tujunga, CA 91042-1427
Phone (818) 331-8134

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
I20170524001405 CA Practitioner - Optometry 8628345592 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Movses Djanbatian O D IncGroup PAC ID 2466639059, 4 clinicians
Brand Optometry a Prof CorpGroup PAC ID 3870025513, 5 clinicians

Practice addresses (Care Compare)

330 N Brand Blvd
Suite 110
Glendale, CA 91203-2308
Phone (818) 241-4921

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33648CAMDPediatric Chiropractor
33648-TLGCAMDPediatric Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Linden Optometry a Professional Corporation Optometrist CurrentSince Aug 13, 2017 Accepting new patients
Advanced Eyecare Professional Optometric Group Optometrist CurrentSince Jul 20, 2017 Accepting new patients
Dr. Arlene T. Yepremian, O.D. a Professional Corporation Optometrist Past Accepting new patients
Greta Torossian, Optometric Corp. Optometrist Past Accepting new patients

Locations

330 N Brand Blvd
Ste 110
Glendale, CA 91203
Phone (818) 240-0890

1055 Foothill Blvd
La Canada, CA 91011

477 E Colorado Blvd
Pasadena, CA 91101
Phone (626) 796-1191

6702 Inglewood Ave
Ste H
Stockton, CA 95207
Phone (209) 951-3937

Interoperability endpoints

  • Direct secure messaging: vkochkarianod@shultzchang.emadirect.md

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1485129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697846400000",
    "number": "1386181865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10745 OWENS PL",
            "city": "TUJUNGA",
            "state": "CA",
            "postal_code": "910421427",
            "telephone_number": "818-331-8134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N BRAND BLVD STE 110",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032308",
            "telephone_number": "818-240-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCHKARIAN",
        "first_name": "VAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-23",
        "last_updated": "2023-10-21",
        "certification_date": "2023-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "CA",
            "license": "33648-TLG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.