Organization Active NPI

Brand Optometry a Prof Corp

  • Optometrist
  • Glendale, CA
National Provider Identifier
1629803168
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
BRAND OPTOMETRY A PROF CORP
Practice address
330 N Brand Blvd Ste 110
Glendale, CA 91203-2308
Phone
(818) 241-4921
Fax
(818) 241-0468
NPI assigned
Sep 4, 2024
Last updated
Jun 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Authorized official

Name
Yousef Kangarani
Title
Manager
Phone
(818) 241-4921

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary
Pediatric Optometrist 152WP0200X NU

Addresses

Primary practice location

330 N Brand Blvd Ste 110
Glendale, CA 91203-2308

Mailing address

330 N Brand Blvd Ste 110
Glendale, CA 91203-2308
Phone (818) 241-4921

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20241018001299 CA Part B Supplier - Clinic/Group Practice 3870025513 Receives reassigned benefits from 5 practitioners
Practice locations: Glendale, CA
O20250121003251 CA DME Supplier - Physician - Optometrist 3870025513 Practice locations: Glendale, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Brand Optometry330 N Brand Blvd, Glendale, CA 91203-2308(818) 241-4921 Prosthetic Lenses: Conventional Eyeglasses Accepts assignmentParticipating since Oct 1, 2024

National Provider Directory

National Provider Directory

Locations

330 N Brand Blvd
Ste 110
Glendale, CA 91203
Phone (818) 240-0890

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782777600000",
    "number": "1629803168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 N BRAND BLVD STE 110",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032308",
            "telephone_number": "818-241-4921",
            "fax_number": "818-241-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N BRAND BLVD STE 110",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032308",
            "telephone_number": "818-241-4921",
            "fax_number": "818-241-0468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAND OPTOMETRY A PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-04",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A",
        "authorized_official_last_name": "KANGARANI",
        "authorized_official_first_name": "YOUSEF",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "818-241-4921"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.