Susanna Avetisyan

Primary specialty

OpticianTaxonomy code 156FX1800X

License

148397 Issued in NU

Practice address

13739 Riverside Dr Ste a
Sherman Oaks, CA 91423-2417

Phone

(818) 995-7989

Fax

(818) 995-7975

NPI assigned

Jan 30, 2014

Last updated

Jan 30, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vision Crafters

  • Eyewear Supplier
  • Sherman Oaks, CA
  • NPI 1457774119
  Authorized official Same address or phone

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

{
    "created_epoch": "1391040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391040000000",
    "number": "1699198457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13739 RIVERSIDE DR STE A",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232417",
            "telephone_number": "818-995-7989",
            "fax_number": "818-995-7975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13739 RIVERSIDE DR STE A",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232417",
            "telephone_number": "818-995-7989",
            "fax_number": "818-995-7975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVETISYAN",
        "first_name": "SUSANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-30",
        "last_updated": "2014-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NU",
            "license": "148397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita Avedian, M.S., M.F.T.
• Erin Avedian
• Aven Group, Inc. (Aven Care Providers)
• Aventus Home Health
• Aventus Treatment Center
• Vicky Avetisyan, FNP
• Elizabeth Avila
• Avira Home Health, Inc.
• Victoria Avital, NP
• Yana Avnilova, PHARM D

• Optician in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Optician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; 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.