Individual provider Active NPI

Yeraz Ani Kochkarian, OD

  • Optometrist
  • Lancaster, CA
National Provider Identifier
1942975982
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34906 Issued in CA
Practice address
1046 W Avenue K
Lancaster, CA 93534-5918
Phone
(661) 942-7313
NPI assigned
Aug 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34906 CA Primary

Addresses

Primary practice location

1046 W Avenue K
Lancaster, CA 93534-5918

Mailing address

1168 Concord St
Glendale, CA 91202-2257
Phone (818) 641-6404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230321002370 CA Practitioner - Optometry 6406220045 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fyidoctors of California IncGroup PAC ID 3577961572, 21 clinicians

Practice addresses (Care Compare)

18661 Devonshire St
Northridge, CA 91324-1310
Phone (818) 368-1234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fyidoctors of California, Inc. Optometrist CurrentSince Mar 29, 2023 Accepting new patients
Sabi Israel & Robert F. Collins PTR Optometrist CurrentSince Aug 15, 2021 Accepting new patients

Locations

3808 W Riverside Dr
Ste 100
Burbank, CA 91505
Phone (818) 843-2214

1046 W Avenue K
Lancaster, CA 93534
Phone (661) 942-7313

18661 Devonshire St
Northridge, CA 91324
Phone (818) 368-1234

114 N Sunrise Ave
Ste C4
Roseville, CA 95661
Phone (916) 786-2212

8447 Laurel Canyon Blvd
Sun Valley, CA 91352
Phone (818) 504-2020

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1942975982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1168 CONCORD ST",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022257",
            "telephone_number": "818-641-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1046 W AVENUE K",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935345918",
            "telephone_number": "661-942-7313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCHKARIAN",
        "first_name": "YERAZ",
        "middle_name": "ANI",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-11",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.