Shakeh J Bagdassar, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

9792T Issued in CA

Practice address

1101 N Pacific Ave
Suite 105
Glendale, CA 91202-3250

Phone

(818) 243-1111

Fax

(818) 243-1375

NPI assigned

Aug 29, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Other, 1991

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Practitioners 1

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

• Angineh Almasi, O.D.

  • Optometrist
  • Pasadena, CA
  • NPI 1760788632
  Medicare reassignment

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.

• Shakeh Bagdassar Eye to Eye Optometry

  • Optometrist
  • Glendale, CA
  • NPI 1659867901
  NPD (past) Authorized official

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277251200000",
    "number": "1578672234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 N PACIFIC AVE",
            "address_2": "SUITE 105",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912023250",
            "telephone_number": "818-243-1111",
            "fax_number": "818-243-1375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 N PACIFIC AVE",
            "address_2": "SUITE 105",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912023250",
            "telephone_number": "818-243-1111",
            "fax_number": "818-243-1375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGDASSAR",
        "first_name": "SHAKEH",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2010-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9792T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0097920",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Baez
• Boris Bagdasarian, D.O.
• Gurgen Bagdasarian, PHARM.D.
• Michael Bagdasarian
• Harut Bagdasaryan
• Natalie Baghdadlian
• Grace Baghdasarian
• Stella Baghdasarian, D.D.S.
• Teodik Baghdasarian, D.D.S.
• Parelie Baghdasarianss

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.