Individual provider Active NPI

Iman Michelle Rodriguez-Verdel, OD

  • Optometrist
  • Valencia, CA
National Provider Identifier
1740100817
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
36287 Issued in CA
Practice address
23300 Cinema Dr Ste 210
Valencia, CA 91355-1776
Phone
(661) 287-3939
NPI assigned
Jul 20, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 36287 CA Primary

Addresses

Primary practice location

23300 Cinema Dr Ste 210
Valencia, CA 91355-1776

Mailing address

2806 W Avenue 30
Los Angeles, CA 90065-1304
Phone (323) 631-5549

Other practice location 1

9911 Topanga Canyon Blvd
Chatsworth, CA 91311-3602
Phone (818) 678-9133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2806 W Ave
Suite 30
Los Angeles, CA 90065-1304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Carol Aivazian O D Optometric Corporation Optometrist CurrentSince Jul 26, 2026 Accepting new patients
Carol Aivazian Opt D Professional Corp Optometrist CurrentSince Jul 26, 2026 Accepting new patients

Locations

9911 Topanga Canyon Blvd
Chatsworth, CA 91311
Phone (818) 517-4644

23300 Cinema Dr
Ste 210
Valencia, CA 91355
Phone (661) 287-3939

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1784505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1740100817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2806 W AVENUE 30",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900651304",
            "telephone_number": "323-631-5549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23300 CINEMA DR STE 210",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913551776",
            "telephone_number": "661-287-3939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9911 Topanga Canyon Blvd",
            "address_purpose": "LOCATION",
            "city": "Chatsworth",
            "state": "CA",
            "postal_code": "913113602",
            "country_code": "US",
            "telephone_number": "818-678-9133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ-VERDEL",
        "first_name": "IMAN",
        "middle_name": "MICHELLE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-20",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "36287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

Verify at the official NPI Registry.