Specialty Eye Care Medical Center , Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

A66613 Issued in CA

Legal business name

SPECIALTY EYE CARE MEDICAL CENTER , INC

Practice address

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

Phone

(818) 386-0008

Fax

(818) 386-0290

NPI assigned

Nov 1, 2010

Last updated

Nov 1, 2010By 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

Karine Gabrielian, M.D.

Title

President

Phone

(818) 386-0008

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288569600000",
    "number": "1780984187",
    "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": "818-386-0008",
            "fax_number": "818-386-0290"
        },
        {
            "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": "818-386-0008",
            "fax_number": "818-386-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY EYE CARE MEDICAL CENTER , INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-01",
        "last_updated": "2010-11-01",
        "status": "A",
        "authorized_official_last_name": "GABRIELIAN",
        "authorized_official_first_name": "KARINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-386-0008",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CA",
            "license": "A66613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Eyewear Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.