Individual provider Active NPI

Narbae Avedian, O.D.

  • Optometrist
  • Studio City, CA
National Provider Identifier
1992104756
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TLG15088 Issued in CA
Practice address
12229 Ventura Blvd
Studio City, CA 91604-2576
Phone
(818) 623-8900
Fax
(818) 623-0978
NPI assigned
Aug 18, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TLG15088 CA Primary

Addresses

Primary practice location

12229 Ventura Blvd
Studio City, CA 91604-2576

Mailing address

12229 Ventura Blvd
Studio City, CA 91604-2576
Phone (818) 623-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
TLG15088CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Veyep CurrentSince Jul 31, 2023 Accepting new patients
Barry a. Wagner OD a Professional Corporation Optometrist Past Accepting new patients

Locations

12229 Ventura Blvd
Studio City, CA 91604
Phone (818) 623-8900

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487721600000",
    "number": "1992104756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12229 VENTURA BLVD",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042576",
            "telephone_number": "818-623-8900",
            "fax_number": "818-623-0978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12229 VENTURA BLVD",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042576",
            "telephone_number": "818-623-8900",
            "fax_number": "818-623-0978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVEDIAN",
        "first_name": "NARBAE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-18",
        "last_updated": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "TLG15088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Studio City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.