Individual provider Active NPI

Ella Harootoonian

  • Optometrist
  • Burbank, CA
National Provider Identifier
1508954306
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10851T Issued in CA
Practice address
201 E Magnolia Blvd Ste 261
Burbank, CA 91502-1162
Phone
(818) 841-2393
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10851T CA Primary

Addresses

Primary practice location

201 E Magnolia Blvd Ste 261
Burbank, CA 91502-1162

Mailing address

1844 N Bel Aire Dr
Burbank, CA 91504-1907

Other identifiers 1

IdentifierTypeStateIssuer
SD0108510MedicaidCA

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
I20080619000778 CA Practitioner - Optometry 7315018280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scott W Beeve MD IncGroup PAC ID 8325032998, 2 clinicians

Practice addresses (Care Compare)

1809 Verdugo Blvd
Suite 150
Glendale, CA 91208-1416
Phone (818) 790-8001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10851TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Scott W Beeve MD Inc CurrentSince Oct 18, 2018 Accepting new patients
Luxottica of America Inc. Past Accepting new patients
Luxottica of America Inc Past Accepting new patients

Locations

1809 Verdugo Blvd
Ste 150
Glendale, CA 91208
Phone (818) 790-8001

Organizations & group practices 3

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508954306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1844 N BEL AIRE DR",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915041907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E MAGNOLIA BLVD STE 261",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021162",
            "telephone_number": "818-841-2393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAROOTOONIAN",
        "first_name": "ELLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10851T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0108510",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.