Advanced Eyecare Professional Optometric Group | |
330 N Brand Blvd, Suite 110, Glendale, CA 91203-2308 | |
(818) 240-0890 | |
(808) 246-2540 |
Full Name | Advanced Eyecare Professional Optometric Group |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 330 N Brand Blvd, Glendale, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306035118 | NPI | - | NPPES |
1306035118 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPT9869 (California) | Primary |
Provider Name | David J Crandon |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1619032547 PECOS PAC ID: 8022911742 Enrollment ID: I20040129001232 |
Provider Name | Jenny Yen |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1992847925 PECOS PAC ID: 0345223061 Enrollment ID: I20040611001014 |
Provider Name | David L Turetsky |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1396789426 PECOS PAC ID: 0042290777 Enrollment ID: I20040722001439 |
Provider Name | Cindy C Hui |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1679636518 PECOS PAC ID: 2961433776 Enrollment ID: I20050822000938 |
Provider Name | Vida L Arjomand |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1114011103 PECOS PAC ID: 0143243022 Enrollment ID: I20060105000798 |
Provider Name | Vivian L Morris |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1669523155 PECOS PAC ID: 6901820034 Enrollment ID: I20060117000442 |
Provider Name | Hou Terng Leong |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1801984588 PECOS PAC ID: 5991809329 Enrollment ID: I20070324000100 |
Provider Name | David W Oebker |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1326195199 PECOS PAC ID: 8325137524 Enrollment ID: I20071210000644 |
Provider Name | Sandy T Nguyen |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1497945323 PECOS PAC ID: 9032290895 Enrollment ID: I20080117000579 |
Provider Name | Betty W Lee-villanueva |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1073559233 PECOS PAC ID: 5092891457 Enrollment ID: I20080325000644 |
Provider Name | Lijing Yao |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1588847768 PECOS PAC ID: 5597836866 Enrollment ID: I20080612000887 |
Provider Name | Ronald V Black |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1821032442 PECOS PAC ID: 2365506235 Enrollment ID: I20090430000327 |
Provider Name | Maia J Budnero |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1649505611 PECOS PAC ID: 6002941002 Enrollment ID: I20100316000616 |
Provider Name | Katerina Zisman |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1083772917 PECOS PAC ID: 6305088485 Enrollment ID: I20130820000820 |
Provider Name | Albert U Nguyen |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1992138044 PECOS PAC ID: 4082843420 Enrollment ID: I20140206001049 |
Provider Name | Page A Yarwood |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1447303151 PECOS PAC ID: 2062644586 Enrollment ID: I20140416001384 |
Provider Name | Simona Grosu |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1841368305 PECOS PAC ID: 0345334421 Enrollment ID: I20140609000204 |
Provider Name | Mimi A Phan |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1598187924 PECOS PAC ID: 8325264864 Enrollment ID: I20140718001760 |
Provider Name | Martha Tanya Klufas |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1336320928 PECOS PAC ID: 9436473493 Enrollment ID: I20150121002278 |
Provider Name | Sharis Gharabeki |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1457731333 PECOS PAC ID: 4587976220 Enrollment ID: I20150708002898 |
Provider Name | Jeffrey L Taranto |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1285798504 PECOS PAC ID: 0042314031 Enrollment ID: I20160121002367 |
Provider Name | Liann T Griffiths |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1518325026 PECOS PAC ID: 0547566291 Enrollment ID: I20160307002603 |
Provider Name | Sophia J Hsia |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1285040147 PECOS PAC ID: 3779879002 Enrollment ID: I20160912002645 |
Provider Name | Ngoc-lan T Vu |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1528476462 PECOS PAC ID: 7214154939 Enrollment ID: I20160916000196 |
Provider Name | Caroline Dang |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1427505841 PECOS PAC ID: 6800183559 Enrollment ID: I20160922002032 |
Provider Name | Soo Jin Noh |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1326474602 PECOS PAC ID: 2264734755 Enrollment ID: I20161107002253 |
Provider Name | Michael Q Tran |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1790137529 PECOS PAC ID: 8123309234 Enrollment ID: I20170104001052 |
Provider Name | Tiffany Y Chuang |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1386076354 PECOS PAC ID: 5193969798 Enrollment ID: I20170301000400 |
Provider Name | Van Kochkarian |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1386181865 PECOS PAC ID: 8628345592 Enrollment ID: I20170524001405 |
Provider Name | Jenny Nguyen |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1134662695 PECOS PAC ID: 9032486774 Enrollment ID: I20170530001984 |
Provider Name | Phuong N Nguyen |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1710177977 PECOS PAC ID: 8123103694 Enrollment ID: I20170530002642 |
Provider Name | Vahe Arutyunyan |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1548779952 PECOS PAC ID: 8729345582 Enrollment ID: I20171202000344 |
Provider Name | Shirley Yan |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1477099257 PECOS PAC ID: 5496088353 Enrollment ID: I20190607000562 |
Provider Name | Lilly Chang |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1619521259 PECOS PAC ID: 9234469321 Enrollment ID: I20191003000620 |
Provider Name | Amber Fatima Naqvi |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1346779147 PECOS PAC ID: 1759654619 Enrollment ID: I20191004001568 |
Provider Name | Evan D Goldman |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1154975738 PECOS PAC ID: 2860824943 Enrollment ID: I20191111001670 |
Provider Name | Lillian J Tsai |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1841831062 PECOS PAC ID: 2062844616 Enrollment ID: I20191120000092 |
Provider Name | Monica Rani |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1063041630 PECOS PAC ID: 9638598501 Enrollment ID: I20200925000882 |
Provider Name | Jolinda W.y. Tam |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1306306204 PECOS PAC ID: 2961821566 Enrollment ID: I20201001000662 |
Provider Name | Anahit Sahakyan |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1760070858 PECOS PAC ID: 0547673584 Enrollment ID: I20210111002912 |
Provider Name | Cristina Ta |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1356995047 PECOS PAC ID: 9133536931 Enrollment ID: I20210323001366 |
Provider Name | Anita Ng |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1386264398 PECOS PAC ID: 3274938964 Enrollment ID: I20210818001712 |
Provider Name | May-may Chan |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1669515169 PECOS PAC ID: 4587060074 Enrollment ID: I20210908003694 |
Provider Name | Jennifer Ngo |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1740888627 PECOS PAC ID: 6507243714 Enrollment ID: I20220509002187 |
Provider Name | Katie Jang |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1689291056 PECOS PAC ID: 8921425737 Enrollment ID: I20221219000642 |
Provider Name | Ida Simonyan |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1053085175 PECOS PAC ID: 5395116024 Enrollment ID: I20230117001815 |
Mailing Address | Practice Location Address |
---|---|
Advanced Eyecare Professional Optometric Group 330 N Brand Blvd, Suite 110, Glendale, CA 91203-2308 Ph: (818) 240-0890 | Advanced Eyecare Professional Optometric Group 330 N Brand Blvd, Suite 110, Glendale, CA 91203-2308 Ph: (818) 240-0890 |
John J. Mielke, O.d. Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 801 S Chevy Chase Dr Ste 100, Glendale, CA 91205 Phone: 818-956-8785 Fax: 818-956-5367 | |
Dr. Megan Quan, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 409 N Central Ave, Glendale, CA 91203 Phone: 818-265-7755 | |
Dr. Movses D'janbatian, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 330 N Brand Blvd, Suite 110, Glendale, CA 91203 Phone: 818-241-4921 Fax: 818-241-0468 | |
Jewel City Optometry Optometrist Medicare: Medicare Enrolled Practice Location: 839 N Glendale Ave, Glendale, CA 91206 Phone: 818-240-3937 Fax: 818-240-3933 | |
Ida Simonyan, OD Optometrist Medicare: Medicare Enrolled Practice Location: 330 N Brand Blvd Ste 110, Glendale, CA 91203 Phone: 708-423-1515 | |
Dr. Movses D'janbatian, Od, Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 330 N Brand Blvd, Suite 110, Glendale, CA 91203 Phone: 818-241-4921 Fax: 818-241-0468 | |
Dr. Betty Wai-han Lee-villanueva, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 330 N Brand Blvd, Suite 110, Glendale, CA 91203 Phone: 866-260-2020 |