Provider Demographics
NPI:1992504583
Name:AGHAJANIAN, BIANKA (OD)
Entity type:Individual
Prefix:
First Name:BIANKA
Middle Name:
Last Name:AGHAJANIAN
Suffix:
Gender:
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:725 E ELMWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91501-2503
Mailing Address - Country:US
Mailing Address - Phone:818-397-2810
Mailing Address - Fax:
Practice Address - Street 1:1601 W VERDUGO AVE
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91506-2101
Practice Address - Country:US
Practice Address - Phone:818-843-1141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-07
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA35924152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist