Individual provider Active NPI

Judy Canberk, O.D.

  • Optometrist
  • Los Angeles, CA
National Provider Identifier
1518638287
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34984 Issued in CA
Practice address
10250 Santa Monica Blvd Ste 2550
Los Angeles, CA 90067-6598
Phone
(424) 249-1957
Fax
(323) 406-9952
NPI assigned
Sep 23, 2021
Last updated
Jun 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34984 CA Primary

Addresses

Primary practice location

10250 Santa Monica Blvd Ste 2550
Los Angeles, CA 90067-6598

Mailing address

10250 Santa Monica Blvd Ste 2550
Los Angeles, CA 90067-6598
Phone (424) 249-1957

Other names 1

  • Judy Hamouie Former name

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
I20211014000853 CA Practitioner - Optometry 2466850961 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34984CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Tabiza, Optometrist, Apc Optometrist CurrentSince Sep 25, 2021 Accepting new patients

Locations

8610 S Sepulveda Blvd
Ste 100
Los Angeles, CA 90045
Phone (310) 670-1888

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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": "1632355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1518638287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10250 SANTA MONICA BLVD STE 2550",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900676598",
            "telephone_number": "424-249-1957",
            "fax_number": "323-406-9952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10250 SANTA MONICA BLVD STE 2550",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900676598",
            "telephone_number": "424-249-1957",
            "fax_number": "323-406-9952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANBERK",
        "first_name": "JUDY",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-23",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDY",
            "last_name": "HAMOUIE",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.