NPIMap

Organization Active NPI

Greta Torossian, Optometric Corp.

  • Optometrist
  • Glendale, CA
National Provider Identifier
1821152273
Registry record updated Apr 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OP11552T Issued in CA
Legal business name
GRETA TOROSSIAN, OPTOMETRIC CORP.
Practice address
330 N Brand Blvd Ste 110
Glendale, CA 91203-2308
Phone
(818) 956-3728
NPI assigned
Dec 20, 2006
Last updated
Apr 2, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2013

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

Authorized official

Name
Greta Torossian, O.D.NPI 1861414807
Title
President
Phone
(818) 956-3728

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OP11552T CA Primary

Addresses

Primary practice location

330 N Brand Blvd Ste 110
Glendale, CA 91203-2308

Mailing address

330 N Brand Blvd Ste 110
Glendale, CA 91203-2308
Phone (818) 956-3728

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070517000368 CA Part B Supplier - Clinic/Group Practice 7618074105 Receives reassigned benefits from 19 practitioners
Practice locations: La Canada, CA; Fontana, CA

National Provider Directory

National Provider Directory

Locations

330 N Brand Blvd
Ste 110
Glendale, CA 91203
Phone (818) 240-0890

1049 Foothill Blvd
La Canada, CA 91011
Phone (818) 550-0411

1057 Foothill Blvd
La Canada Flintridge, CA 91011
Phone (818) 864-6732

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364860800000",
    "number": "1821152273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 N BRAND BLVD STE 110",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032308",
            "telephone_number": "818-956-3728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N BRAND BLVD STE 110",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032308",
            "telephone_number": "818-956-3728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRETA TOROSSIAN, OPTOMETRIC CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2013-04-02",
        "status": "A",
        "authorized_official_last_name": "TOROSSIAN",
        "authorized_official_first_name": "GRETA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-956-3728",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OP11552T",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 2, 2013; 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.