Dr. Ani Baroni, O.D., Inc
Organization Active NPI Optometrist · Montrose, CA
NPI 1649987207 · NPPES record last updated Nov 3, 2022
Key facts
- NPI
- 1649987207
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- DR. ANI BARONI, O.D., INC
- Practice address
- 2027 Verdugo Blvd Ste a
Montrose, CA 91020-1626 - Phone
- (818) 330-9488
- NPI assigned
- Nov 3, 2022
- Organization subpart
- No
Authorized official
- Name
- Ani Baroni, OD
- Title
- Ceo
- Phone
- (818) 919-0640
Practitioners 1
-
Ani Baroni, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230413001519 | CA | Part B Supplier - Clinic/Group Practice | 5991170508 |
Receives reassigned benefits from 1 practitioner Practice locations: Montrose, CA |
National Provider Directory
Locations
2027 Verdugo Blvd
Ste A
Montrose, CA 91020
Phone 80096936661431
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
2027 Verdugo Blvd Ste a
Montrose, CA 91020-1626
Mailing address
9356 Charrick Dr
Tujunga, CA 91042-3203
Phone (818) 919-0640
Other names
- Oceanview Optometry
Other providers in Montrose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.