Organization Active NPI

Zareh Simonian OD Inc , a Professional Corporation

  • Optometrist
  • Glendale, CA
National Provider Identifier
1770807745
Registry record updated Mar 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT12490 Issued in CA
Legal business name
ZAREH SIMONIAN OD INC , A PROFESSIONAL CORPORATION
Practice address
232 S Brand Blvd
Glendale, CA 91204-1310
Phone
(310) 407-5440
Fax
(310) 407-5441
NPI assigned
Mar 19, 2010
Last updated
Mar 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2010

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

Authorized official

Name
Zareh Simonian, ODNPI 1285872309
Title
President
Phone
(310) 407-5440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT12490 CA Primary

Addresses

Primary practice location

232 S Brand Blvd
Glendale, CA 91204-1310

Mailing address

232 S Brand Blvd
Glendale, CA 91204-1310
Phone (310) 407-5440

Other identifiers 1

IdentifierTypeStateIssuer
OPT12490OtherCACA LICENCE

National Provider Directory

National Provider Directory

Locations

232 S Brand Blvd
Glendale, CA 91204
Phone (818) 334-6630

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1268956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268956800000",
    "number": "1770807745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 S BRAND BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041310",
            "telephone_number": "310-407-5440",
            "fax_number": "310-407-5441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 S BRAND BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041310",
            "telephone_number": "310-407-5440",
            "fax_number": "310-407-5441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZAREH SIMONIAN OD INC , A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-19",
        "last_updated": "2010-03-19",
        "status": "A",
        "authorized_official_last_name": "SIMONIAN",
        "authorized_official_first_name": "ZAREH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-407-5440",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT12490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENCE",
            "identifier": "OPT12490",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2010; 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.