Hovhannes Hovhannisyan, OD

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

35374 Issued in CA

Practice address

4501 S Alameda St Ste G-29
Vernon, CA 90058-2010

Phone

(323) 231-0005

NPI assigned

Jun 3, 2022

Sex

Male

Sole proprietor

Yes

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Hovhannes Hovhannisyan, OD, Inc

  dba Mission Family Optometry

  • Corneal and Contact Management Optometrist
  • Granada Hills, CA
  • NPI 1790478139
  Medicare reassignment NPD Authorized official
• Alameda Family Optometry, Inc.

  • Optometrist
  • Vernon, CA
  • NPI 1881499598
  NPD Authorized official
• Hillside Optometry Inc

  dba Hillside Optometry

  • Optometrist
  • Granada Hills, CA
  • NPI 1457060857
  NPD (past)

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1508505835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 58125",
            "city": "VERNON",
            "state": "CA",
            "postal_code": "900580125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 S ALAMEDA ST STE G-29",
            "city": "VERNON",
            "state": "CA",
            "postal_code": "900582010",
            "telephone_number": "323-231-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOVHANNISYAN",
        "first_name": "HOVHANNES",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-03",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "35374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Everytable, PBC (Everytable)
• Ian Fitz-Gibbon
• Steven Florman, MD
• Tomas Garcia Jr., PSYD
• Alejandro Hernandez, P.A.-C
• Vida R Isip, P.T.
• Melissa Joson
• Angelina Juan
• Yong Ki Kwon
• La Urgent Care & Occupational Medicine

• Corneal and Contact Management Optometrist in Vernon, CA
• Providers in Vernon, CA by specialty
• Corneal and Contact Management Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.