Dr. Garineh M. Nersisyan, O.D., a Professional Optometric Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DR. GARINEH M. NERSISYAN, O.D., A PROFESSIONAL OPTOMETRIC CORPORATION

Doing business as

Optx Optometry

Practice address

24305 Town Center Dr Ste 160
Valencia, CA 91355-1347

Phone

(661) 799-7464

Fax

(661) 799-7583

NPI assigned

Mar 15, 2022

Organization subpart

No

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

Authorized official

Name

Garineh Nersisyan, ODNPI 1396058129

Title

Owner/President

Phone

(818) 371-1431

Specialties & licenses 1

Addresses

Other names 1

• Optx Optometry Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Garineh Martirossian Nersisyan, O.D

  • Optometrist
  • Calabasas, CA
  • NPI 1396058129
  Medicare reassignment NPD Authorized official
• Maria Habib, OD

  • Optometrist
  • Valencia, CA
  • NPI 1255206199
  Medicare reassignment NPD

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647302400000",
    "number": "1790433092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24305 TOWN CENTER DR STE 160",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913551347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24305 TOWN CENTER DR STE 160",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913551347",
            "telephone_number": "661-799-7464",
            "fax_number": "661-799-7583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. GARINEH M. NERSISYAN, O.D., A PROFESSIONAL OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A",
        "authorized_official_last_name": "NERSISYAN",
        "authorized_official_first_name": "GARINEH",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "818-371-1431",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optx Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Valencia, CA
• Providers in Valencia, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.