| Ellen Shuham Od Inc | |
|
18661 Devonshire St, Northridge, CA 91324 | |
| (818) 368-1234 | |
| (818) 363-3161 |
| Full Name | Ellen Shuham Od Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 18661 Devonshire St, Northridge, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174648943 | NPI | - | NPPES |
| GSD000050 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPT6899TPA (California) | Primary |
| Provider Name | Ellen Shuham |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629127519 PECOS PAC ID: 5991600389 Enrollment ID: I20090728000681 |
| Provider Name | Emetisse Yazdanmehr |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194133322 PECOS PAC ID: 1052622883 Enrollment ID: I20150622000571 |
| Mailing Address | Practice Location Address |
|---|---|
| Ellen Shuham Od Inc 18661 Devonshire St, Northridge, CA 91324 Ph: (818) 368-1234 | Ellen Shuham Od Inc 18661 Devonshire St, Northridge, CA 91324 Ph: (818) 368-1234 |
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 |