Haris Mirza

Primary specialty

OptometristTaxonomy code 152W00000X

License

35065 Issued in CA

Practice address

6345 Balboa Blvd Ste 250
Encino, CA 91316-5236

Phone

(818) 344-3937

NPI assigned

Mar 13, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Haris Mirza OD Inc

  • Optometrist
  • Granada Hills, CA
  • NPI 1457299737
  NPD Authorized official
• Gary L Etting OD an Optometric Corp

  • Optometrist
  • Encino, CA
  • NPI 1306950829
  NPD
• Joseph & Nace Optometric Corporation

  • Vision Therapy Optometrist
  • Encino, CA
  • NPI 1144994104
  NPD

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1467153973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6345 BALBOA BLVD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6345 BALBOA BLVD STE 250",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913165236",
            "telephone_number": "818-344-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRZA",
        "first_name": "HARIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miracle Board and Care&Asssisted Living
• Miracle Mile Medical Center
• Venus Mirbod, PSY.D.
• Ali Mirfakhrai, D.C.
• Roberta E. Mirisch, L.C.S.W.
• Misra Medical Corp
• Sulagna Misra, M.D.
• Helen Mitchell
• Susan Margaret Mitchell, PHD MFT
• Tejal Mitroo, M.A., BCBA

• Optometrist in Encino, CA
• Providers in Encino, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.