Provider Demographics
NPI:1992104756
Name:AVEDIAN, NARBAE (OD)
Entity type:Individual
Prefix:DR
First Name:NARBAE
Middle Name:
Last Name:AVEDIAN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12229 VENTURA BLVD
Mailing Address - Street 2:
Mailing Address - City:STUDIO CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91604-2576
Mailing Address - Country:US
Mailing Address - Phone:818-623-8900
Mailing Address - Fax:818-623-0978
Practice Address - Street 1:12229 VENTURA BLVD
Practice Address - Street 2:
Practice Address - City:STUDIO CITY
Practice Address - State:CA
Practice Address - Zip Code:91604-2576
Practice Address - Country:US
Practice Address - Phone:818-623-8900
Practice Address - Fax:818-623-0978
Is Sole Proprietor?:No
Enumeration Date:2014-08-18
Last Update Date:2017-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CATLG15088152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist