M2A Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

D3323 Issued in CA

Legal business name

M2A INC

Practice address

1030 South Glendale Ave
#103
Glendale, CA 91205

Phone

(818) 244-1297

Fax

(818) 244-7103

NPI assigned

Aug 5, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Gor Vartanyan, OPTICIAN

Title

Optician Manager

Phone

(818) 244-1297

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Optical Eyes Doing business as

Locations

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485820800000",
    "number": "1851300560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 SOUTH GLENDALE AVE",
            "address_2": "#103",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91205",
            "telephone_number": "818-244-1297",
            "fax_number": "818-244-7103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 SOUTH GLENDALE AVE",
            "address_2": "#103",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91205",
            "telephone_number": "818-244-1297",
            "fax_number": "818-244-7103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M2A INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2017-01-31",
        "status": "A",
        "authorized_official_last_name": "VARTANYAN",
        "authorized_official_first_name": "GOR",
        "authorized_official_title_or_position": "OPTICIAN MANAGER",
        "authorized_official_telephone_number": "818-244-1297",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "D3323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DX003323F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optical Eyes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.