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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SELVIN ROBIN GNANAKKAN, O.D. M.B.A

Active Sole Proprietor

DR. SELVIN ROBIN GNANAKKAN, O.D. M.B.A is a Optometrist healthcare provider located in GLENDALE, Arizona. NPI 1104980846 is currently active in the NPPES registry. Verify at CMS.

Optometrist · GLENDALE, AZ

Registration Details

NPI Number
1104980846
Provider Type
Individual
Gender
Male
NPI Issued
Dec 20, 2006 (19.683357091844 yrs)
Last Updated
Feb 12, 2026
Licenses
0618001366 (VA)
OEG003214 (PA)
TPOP129 (FL)
TA1769 (MD)
1976-922AT (LA)
Sole Proprietor
Yes

Practice Information

Address
7122 N 59TH AVE FL 1
GLENDALE, AZ, 853012436
Browse AZ providers · Browse ZIP 85301
Phone
6239311043
Fax
6025353165
Primary Specialty
Optometrist
152W00000X
Additional Specialty
Optometrist
Additional Specialty
Optometrist
Additional Specialty
Ophthalmology
Additional Specialty
Optometrist

Other Optometrist Providers in GLENDALE, AZ

Name Credential NPI
DR. MARK LAWRENCE JAFFE O.D. 1093717373
GILBERT G. WONG O.D. 1255335832
DR. BRIAN A MACH OD 1093711939
DR. TINA KASTLER O.D. 1376535187
DR. ROBIN BLANK O.D. 1962499434
DR. JAMES POLKABLA O.D. 1467440818
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.