All Eyes Optometry Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

10532T Issued in CA

Legal business name

ALL EYES OPTOMETRY INC

Practice address

5366 W Pico Blvd
Los Angeles, CA 90019-4036

Phone

(323) 454-8454

NPI assigned

Oct 5, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Anita Kerendian-Hakimi, O.D.NPI 1407906050

Title

Optometrist

Phone

(323) 454-8454

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Anita Kerendian-Hakimi, O.D.

  • Optometrist
  • Los Angeles, CA
  • NPI 1407906050
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594080000000",
    "number": "1447569678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5366 W PICO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900194036",
            "telephone_number": "323-454-8454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5366 W PICO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900194036",
            "telephone_number": "323-454-8454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL EYES OPTOMETRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-05",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A",
        "authorized_official_last_name": "KERENDIAN-HAKIMI",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "323-454-8454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10532T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3690739",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; 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.