Individual provider Active NPI

Viken A. Manguikian, O.D.

  • Optometrist
  • Orlando, FL
National Provider Identifier
1629031794
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3488 Issued in FL
Practice address
7208 W Sand Lake Rd Ste 202
Orlando, FL 32819-5278
Phone
(407) 271-8931
Fax
(407) 674-8712
NPI assigned
Apr 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC3488 FL Primary

Addresses

Primary practice location

7208 W Sand Lake Rd Ste 202
Orlando, FL 32819-5278

Mailing address

7208 W Sand Lake Rd Ste 202
Orlando, FL 32819-5278
Phone (407) 271-8931

Other identifiers 1

IdentifierTypeStateIssuer
621113500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Eye Clinic P a Optometrist Past Accepting new patients

Organizations & group practices 1

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": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1629031794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7208 W SAND LAKE RD STE 202",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195278",
            "telephone_number": "407-271-8931",
            "fax_number": "407-674-8712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7208 W SAND LAKE RD STE 202",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195278",
            "telephone_number": "407-271-8931",
            "fax_number": "407-674-8712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGUIKIAN",
        "first_name": "VIKEN",
        "middle_name": "A.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "621113500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.