LATISHA PATEL (NPI# 1386026102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386026102 |
| Entity Type | Individual |
| Full Name | LATISHA PATEL |
| Credential | O.D. |
| Practice Address |
1051 W Burbank Blvd Burbank CA 91506-1421 |
| Mailing Address |
3310 Castleman Ln Burbank CA 91504-1664 |
| Practice Telephone | 8188417055 |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2018-03-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 15271 | CA | Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3310 Castleman Ln, Burbank, CA 915041664 | 8183260717 |
| Street Address |
1051 W BURBANK BLVD |
| City | BURBANK |
| State | CA |
| Zip Code | 91506-1421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508976101 | Costco Wholesale Corporation | Pharmacy | 1051 W Burbank Blvd, Burbank, CA 91506 | 2006-08-30 |
| 1407383862 | Paul Kwon An Optometric Corporation | Optometrist | 1051 W Burbank Blvd, Burbank, CA 91506-1421 | 2017-05-16 |
| 1912390543 | Costco Wholesale Corporation | Hearing Aid Equipment | 1051 W Burbank Blvd, Burbank, CA 91506-1421 | 2015-03-06 |
| 1891184743 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1051 W Burbank Blvd, Burbank, CA 91506-1421 | 2015-01-15 |
| 1437552353 | Costco | Pharmacist | 1051 W Burbank Blvd, Burbank, CA 91506-1421 | 2014-10-06 |
| 1588093538 | Cindy Lee | Pharmacist | 1051 W Burbank Blvd, Burbank, CA 91506-1421 | 2013-11-09 |
| 1477994549 | Soo Han Kwon | Optometrist | 1051 W Burbank Blvd, Burbank, CA 91506 | 2013-07-17 |
| 1235404161 | Yousuf Rahyab | Pharmacist | 1051 W Burbank Blvd, Burbank, CA 91506-1421 | 2012-03-10 |
| 1912279787 | Ted Kiyotoshi Nishimura | Optometrist | 1051 W Burbank Blvd, Burbank, CA 91506-1421 | 2012-02-08 |
| 1548544174 | Victoria Schlossman | Pharmacist | 1051 W Burbank Blvd, Burbank, CA 91506-1421 | 2011-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801427026 | Oc Hospice Care, Inc. | Hospice Care, Community Based | 2001 W Magolia Blvd Suite A1, Burbanbk, CA 91506 | 2020-01-27 |
| 1316578537 | Saint Iness Hospice Inc | Hospice Care, Community Based | 2001 W Magolia Blvd Suite B1, Burbank, CA 91506 | 2020-01-27 |
| 1528543394 | John A Gorostiza Villanueva Md, Inc | Physical Medicine & Rehabilitation | 2121 W Magnolia Blvd Ste B, Burbank, CA 91506 | 2018-09-27 |
| 1063995819 | Angela Ter-zakarian | Home Health Aide | 1130 W Olive Ave Unit C, Burbank, CA 91506 | 2018-09-07 |
| 1154807345 | Lusine Vardanyan | Optometrist | 1112 W Burbank Blvd Ste 204, Burbank, CA 91506 | 2018-07-11 |
| 1366942666 | Angel Wings Medical Associates | Clinic/Center | 1130 West Olive Ave., Burbank, CA 91506 | 2018-02-14 |
| 1427568757 | Claire Helen Bauer | Specialist/Technologist | 421 S Lamer St, Burbank, CA 91506 | 2017-09-29 |
| 1689021354 | Allstar Home Healthcare, Inc | Home Health | 2001 W Magnolia Blbd Suite A1, Burbank, CA 91506 | 2016-05-23 |
| 1598163230 | Saint Iness Home Healthcare, Inc | Home Health | 2001 W. Magnolia Blvd Suite A, Burbank, CA 91506 | 2014-12-11 |
| 1306245386 | Burbank Plastic Surgery Medical Group | Clinic/Center | 2301 W Alameda Ave, Burbank, CA 91506 | 2014-08-15 |
| Find all providers in zip 91506 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083182398 | Zarine Gabrielyan | Optometrist | 907 Bethany Rd, Burbank, CA 91504-3012 | 2018-11-05 |
| 1154807345 | Lusine Vardanyan | Optometrist | 1112 W Burbank Blvd Ste 204, Burbank, CA 91506 | 2018-07-11 |
| 1619475852 | Albina Optometric | Optometrist | The Eye Care Center, Ltd, 8525 S Harlem Ave, Burbank, IL 60459 | 2018-01-23 |
| 1881118321 | Sophia Clarissa Liem | Optometrist | 2031 W Alameda Ave Ste 300, Burbank, CA 91506-2960 | 2017-07-26 |
| 1114353687 | Van Le Sim | Optometrist | 200 E Cypress Ave, Lenscrafters At Macy's, Burbank, CA 91502-1149 | 2013-09-17 |
| 1629344247 | Michael Joseph Fary | Optometrist | 7708 S Cicero Ave, Suite A5, Burbank, IL 60459 | 2012-03-28 |
| 1699819151 | Robert James Berkshire Jr. | Optometrist | 7913 Narragansett Ave, Burbank, IL 60459-1807 | 2007-02-17 |
| 1417008731 | David Toshio Sakihara | Optometrist | 1601 W Verdugo Ave, Burbank, CA 91506-2101 | 2007-01-15 |
| 1417006305 | Philip Khai Do | Optometrist | 3808 Riverside Dr, #100, Burbank, CA 91505 | 2007-01-09 |
| 1134277361 | John Peter Alena | Optometrist | 111 E Magnolia Blvd, Sears Building, Burbank, CA 91502-1716 | 2007-01-05 |
| Find all providers in BURBANK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.