Optical Time, Inc.

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

OPTICAL TIME, INC.

Practice address

18725 Ventura Blvd
Tarzana, CA 91356-3302

Phone

(818) 344-7100

Fax

(818) 344-7100

NPI assigned

Apr 1, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Sissag Boghikian, DPA

Title

Cfo

Phone

(213) 304-7477

Specialties & licenses 1

Addresses

Other names 1

• Optical Time, Inc. Former legal business name

Locations

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617235200000",
    "number": "1851979439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18725 VENTURA BLVD",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563302",
            "telephone_number": "818-344-7100",
            "fax_number": "818-344-7107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18725 VENTURA BLVD",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563302",
            "telephone_number": "818-344-7100",
            "fax_number": "818-344-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL TIME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-01",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A",
        "authorized_official_last_name": "BOGHIKIAN",
        "authorized_official_first_name": "SISSAG",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "213-304-7477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPA"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optical Time, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Optician in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Optician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.