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

SUSANNA AVETISYAN

Active Sole Proprietor

SUSANNA AVETISYAN is a Optician, Dispensing healthcare provider located in SHERMAN OAKS, California. NPI 1699198457 is currently active in the NPPES registry. Verify at CMS.

Optician, Dispensing · SHERMAN OAKS, CA

Registration Details

NPI Number
1699198457
Provider Type
Individual
Gender
Female
NPI Issued
Jan 30, 2014 (12.55952938681 yrs)
Last Updated
Jan 30, 2014
License
148397
Sole Proprietor
Yes

Practice Information

Address
13739 RIVERSIDE DR STE A
SHERMAN OAKS, CA, 914232417
Browse CA providers · Browse ZIP 91423
Phone
8189957989
Fax
8189957975
Primary Specialty
Optician, Dispensing
156FX1800X
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.