Richard H Havunjian MD a Professional Corporation

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

RICHARD H HAVUNJIAN MD A PROFESSIONAL CORPORATION

Doing business as

EYE CARE MEDICAL CENTER

Practice address

1510 S Central Ave Ste 530
Glendale, CA 91204-2542

Phone

(818) 548-5858

Fax

(818) 500-8355

NPI assigned

Jan 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Richard Hratchia Havunjian, MDNPI 1851475594

Title

President

Phone

(818) 548-5858

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• EYE CARE MEDICAL CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Hratchia Havunjian, M.D.

  • Ophthalmology Physician
  • Glendale, CA
  • NPI 1851475594
  Medicare reassignment Care Compare group NPD Authorized official
• Lilit Ablabutyan, M.D.

  • Ophthalmology Physician
  • Glendale, CA
  • NPI 1497013064
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620777600000",
    "number": "1972651339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 S CENTRAL AVE STE 530",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042542",
            "telephone_number": "818-548-5858",
            "fax_number": "818-500-8355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 S CENTRAL AVE STE 530",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042542",
            "telephone_number": "818-548-5858",
            "fax_number": "818-500-8355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD H HAVUNJIAN MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A",
        "authorized_official_last_name": "HAVUNJIAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "HRATCHIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-548-5858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0089220",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EYE CARE MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EYE CARE MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diana Rice, FNP-C
• Thaddeus Rice, FNP-C
• Richard a. Gohl, D.C. Chiropractic Corporation
• Richard a. Gohl, D.C. Chiropractic Corporation
• Richard a. Weise, M.D., a Medical Corporation
• Lisa Ann Richardson, PH.D.
• Abbie Rickard, CD
• Katherine Ricks
• Hugo D Riffel Dalinger, MD
• Maximillian Daniel Rigby-Hall

• Ophthalmology Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; 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.