Provider Demographics
NPI:1992512131
Name:ANI JANSZYAN, OD, INC
Entity type:Organization
Organization Name:ANI JANSZYAN, OD, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANI
Authorized Official - Middle Name:
Authorized Official - Last Name:JANSZYAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:818-763-1875
Mailing Address - Street 1:11996 VENTURA BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:STUDIO CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91604-2606
Mailing Address - Country:US
Mailing Address - Phone:818-763-1875
Mailing Address - Fax:
Practice Address - Street 1:11996 VENTURA BLVD STE B
Practice Address - Street 2:
Practice Address - City:STUDIO CITY
Practice Address - State:CA
Practice Address - Zip Code:91604-2606
Practice Address - Country:US
Practice Address - Phone:818-763-1875
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-11
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty