Marianna Petrosyan O.D. an Optometric Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MARIANNA PETROSYAN O.D. AN OPTOMETRIC CORPORATION

Doing business as

California Optometry

Practice address

1009 Glenoaks Blvd
San Fernando, CA 91340-1436

Phone

(818) 281-6148

NPI assigned

Sep 2, 2021

Last updated

Sep 2, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Marianna Petrosyan, ODNPI 1316255508

Title

President

Phone

(818) 281-6148

Specialties & licenses 1

Addresses

Other names 1

• California Optometry Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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.

• Marianna Tovmasyan Petrosyan, O.D.

  • Optometrist
  • San Fernando, CA
  • NPI 1316255508
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630540800000",
    "number": "1689342818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 GLEN SUMMER RD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911051423",
            "telephone_number": "818-281-6148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 GLENOAKS BLVD",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913401436",
            "telephone_number": "818-281-6148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIANNA PETROSYAN O.D. AN OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A",
        "authorized_official_last_name": "PETROSYAN",
        "authorized_official_first_name": "MARIANNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-281-6148",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrea Isabel Magat
• Mahfouz M. Michael,M.D.,Inc. (Clinica Medica San Miguel)
• Debra Berry Malmberg, PHD
• Jennifer Malone
• Taane Marie Marian
• Michelle Marin Ramirez
• Amaya Marquez
• Emma F Martin, NURSE PRACTITIONER
• Erika Luque Martinez
• Itzel Martinez

• Optometrist in San Fernando, CA
• Providers in San Fernando, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.