Organization Active NPI

Hovhannes Hovhannisyan, OD, Inc

Doing business as Mission Family Optometry

  • Corneal and Contact Management Optometrist
  • Granada Hills, CA
National Provider Identifier
1790478139
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
Legal business name
HOVHANNES HOVHANNISYAN, OD, INC
Doing business as
Mission Family Optometry
Practice address
16970 San Fernando Mission Blvd Ste C3
Granada Hills, CA 91344-4262
Phone
(818) 360-7522
NPI assigned
May 31, 2023
Last updated
May 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Authorized official

Name
Dr. Hovhannes Hovhannisyan, ODNPI 1508505835
Title
Owner
Phone
(818) 397-3523

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
Corneal and Contact Management Optometrist 152WC0802X Primary

Addresses

Primary practice location

16970 San Fernando Mission Blvd Ste C3
Granada Hills, CA 91344-4262

Mailing address

8118 Wilkinson Ave
North Hollywood, CA 91605-1240
Phone (818) 397-3523

Other names 1

  • Mission Family Optometry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230612001004 CA Part B Supplier - Clinic/Group Practice 9830556588 Receives reassigned benefits from 1 practitioner
Practice locations: Granada Hills, CA

National Provider Directory

National Provider Directory

Locations

16970 San Fernando Mission Blvd
Granada Hills, CA 91344
Phone (818) 349-6673

Practitioners & affiliated clinicians

Practitioners 2

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": "1685491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685491200000",
    "number": "1790478139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8118 WILKINSON AVE",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916051240",
            "telephone_number": "818-397-3523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16970 SAN FERNANDO MISSION BLVD STE C3",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913444262",
            "telephone_number": "818-360-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOVHANNES HOVHANNISYAN, OD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-31",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "HOVHANNISYAN",
        "authorized_official_first_name": "HOVHANNES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-397-3523",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission Family Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Granada Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.