Individual provider Active NPI

Hamlet Minasvand

  • Optometrist
  • Glendale, CA
National Provider Identifier
1982885273
Registry record updated Sep 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11567 Issued in CA
Practice address
311 N Verdugo Rd
Suite a
Glendale, CA 91206-3944
Phone
(323) 882-8246
NPI assigned
Nov 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11567 CA Primary

Addresses

Primary practice location

311 N Verdugo Rd
Suite a
Glendale, CA 91206-3944

Mailing address

5181 Hollywood Blvd
Los Angeles, CA 90027-6113
Phone (323) 662-9629

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
I20050517000249 CA Practitioner - Optometry 3375584998 Reassigns benefits to 4 organizations
Practice locations: Los Angeles, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1073 Ross Ave
Suite D
El Centro, CA 92243-4371
Phone (760) 970-4361

10906 Riverside Dr
North Hollywood, CA 91602-2210
Phone (818) 330-3688

14550 Archwood St
Suite 105
Van Nuys, CA 91405-4604
Phone (818) 851-5541

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11567CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond Vision Med Group Inc Optometrist CurrentSince Aug 19, 2021 Accepting new patients
Eagle Rock Medlink Group Inc CurrentSince Dec 9, 2024 Accepting new patients
Focus Eye Inc. Optometrist CurrentSince May 1, 2022 Accepting new patients
Vivid Sight MD Group Inc Optometrist CurrentSince Dec 12, 2025 Accepting new patients
More Vision Eye Care a Medical Corporation Past Accepting new patients

Locations

1073 Ross Ave
Ste D
El Centro, CA 92243
Phone (760) 340-1003

4157 Eagle Rock Blvd
Ste 4
Los Angeles, CA 90065
Phone (818) 439-2021

10906 Riverside Dr
North Hollywood, CA 91602
Phone (818) 330-3688

14550 Archwood St
#105
Van Nuys, CA 91405
Phone (818) 851-5541

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441843200000",
    "number": "1982885273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5181 HOLLYWOOD BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276113",
            "telephone_number": "323-662-9629",
            "fax_number": "323-662-0915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N VERDUGO RD",
            "address_2": "SUITE A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912063944",
            "telephone_number": "323-882-8246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINASVAND",
        "first_name": "HAMLET",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-15",
        "last_updated": "2015-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.