Glendale City Optometry, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

GLENDALE CITY OPTOMETRY, INC.

Practice address

2195 Galleria Way
Glendale, CA 91210-2101

Phone

(818) 334-1402

NPI assigned

Mar 4, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Yeranui GezukarayanNPI 1184880247

Title

Optometrist

Phone

(714) 322-9715

Specialties & licenses 1

Addresses

Practitioners 1

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

• Yeranui Erin Gezukarayan, OD

  • Optometrist
  • Glendale, CA
  • NPI 1184880247
  NPD Authorized official

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1679330807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10620 WILSEY AVE",
            "city": "TUJUNGA",
            "state": "CA",
            "postal_code": "910421643",
            "telephone_number": "714-322-9715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2195 GALLERIA WAY",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912102101",
            "telephone_number": "818-334-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENDALE CITY OPTOMETRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "GEZUKARAYAN",
        "authorized_official_first_name": "YERANUI",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "714-322-9715",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Mar 4, 2024; 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.