Dr Ani Boniadi Sulukyan, OD in Northridge, CA - Medicare Optometrist Provider

Dr Ani Boniadi Sulukyan, OD is a medicare enrolled "Optometrist" provider in Northridge, California. Her current practice location is 9301 Tampa Ave, Northridge, California. You can reach out to her office (for appointments etc.) via phone at (818) 885-7300.

Dr Ani Boniadi Sulukyan is licensed to practice in California (license number 13764TLG) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1205066750.

Contact Information

	Dr Ani Boniadi Sulukyan, OD
	9301 Tampa Ave, Northridge, CA 91324-2503
	(818) 885-7300
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Ani Boniadi Sulukyan
Gender	Female
Speciality	Optometrist
Location	9301 Tampa Ave, Northridge, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205066750
Provider Enumeration Date: 07/17/2009
Last Update Date: 10/23/2021

Medicare PECOS Information:

PECOS PAC ID: 1759421803
Enrollment ID: I20091221000528

Medical Identifiers

Medical identifiers for Dr Ani Boniadi Sulukyan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205066750	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	13764TLG (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Ani Boniadi Sulukyan allows following entities to bill medicare on her behalf.

Provider Name	Southern California Permanente Medical Group
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ani Boniadi Sulukyan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Ani Boniadi Sulukyan, OD 1139 Alameda Ave, Apt #5, Glendale, CA 91201-1358 Ph: (818) 563-9367	Dr Ani Boniadi Sulukyan, OD 9301 Tampa Ave, Northridge, CA 91324-2503 Ph: (818) 885-7300

Reviews and Comments

Optometrist in Northridge, CA

Argina Haghverdian, OPTOMETRIST (OD) Optometrist Medicare: Medicare Enrolled Practice Location: 9420 Reseda Blvd Ste 8, Northridge, CA 91324 Phone: 818-646-9449 Fax: 818-646-9449
Eric Lunchick, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8956 Corbin Ave, Northridge, CA 91324 Phone: 818-885-1954 Fax: 818-885-0138
Dr. Val A Kask, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9153 Reseda Blvd, Northridge, CA 91324 Phone: 805-231-3683
Sukiassians Optometry Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9027 Tampa Ave, Northridge, CA 91324 Phone: 818-349-7617
Caroline Keiko Yokota, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 9301 Tampa Ave Unit 62, Northridge, CA 91324 Phone: 818-857-3008 Fax: 818-709-2292
Dr. Michael Varoujan Terzian, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 11151 Tampa Ave, Northridge, CA 91326 Phone: 818-366-9664 Fax: 818-368-5314
Ellen Shuham Od Inc Optometrist Medicare: Medicare Enrolled Practice Location: 18661 Devonshire St, Northridge, CA 91324 Phone: 818-368-1234 Fax: 818-363-3161

Dr Ani Boniadi Sulukyan, OD - Medicare Optometrist in Northridge, CA