Active NPI
Howard J Weiss, O.D.
- Vision Therapy Optometrist
- Granada Hills, CA
National Provider Identifier
1396833182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vision Therapy Optometrist
- License
- 5968T
- Practice address
- 10605 Balboa Blvd
Siute 230
Granada Hills, CA 91344-6342 - Phone
- (818) 368-4114
- Fax
- (818) 366-2024
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vision Therapy Optometrist | 152WV0400X | 5968T | CA | Primary |
Addresses
Primary practice location
10605 Balboa Blvd
Siute 230
Granada Hills, CA 91344-6342
Mailing address
10605 Balboa Blvd
Siute 230
Granada Hills, CA 91344-6342
Phone (818) 368-4114
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)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5968T | CA | MD | Vision Therapy Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Karine Shaghoyan Inc | Current | Accepting new patients |
Locations
10605 Balboa Blvd
Ste 230
Granada Hills, CA 91344
Phone (818) 368-4114
Organizations & group practices 1
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": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396833182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10605 BALBOA BLVD",
"address_2": "SIUTE 230",
"city": "GRANADA HILLS",
"state": "CA",
"postal_code": "913446342",
"telephone_number": "818-368-4114",
"fax_number": "818-366-2024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10605 BALBOA BLVD",
"address_2": "SIUTE 230",
"city": "GRANADA HILLS",
"state": "CA",
"postal_code": "913446342",
"telephone_number": "818-368-4114",
"fax_number": "818-366-2024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISS",
"first_name": "HOWARD",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "CA",
"license": "5968T",
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.