Provider Demographics
NPI:1588309330
Name:ANDREW BABAYAN, OD, APC.
Entity type:Organization
Organization Name:ANDREW BABAYAN, OD, APC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:BABAYAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:818-438-3802
Mailing Address - Street 1:12000 VICTORY BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91606-3319
Mailing Address - Country:US
Mailing Address - Phone:818-438-3802
Mailing Address - Fax:818-985-6873
Practice Address - Street 1:12000 VICTORY BLVD
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91606-3319
Practice Address - Country:US
Practice Address - Phone:818-438-3802
Practice Address - Fax:818-985-6873
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-04
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty