Provider Demographics
NPI:1053999607
Name:DARAKJIAN EYECARE, INC.
Entity type:Organization
Organization Name:DARAKJIAN EYECARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NAZARETH
Authorized Official - Middle Name:E
Authorized Official - Last Name:DARAKJIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-281-5466
Mailing Address - Street 1:5101 SANTA MONICA BLVD STE 4A
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90029-2479
Mailing Address - Country:US
Mailing Address - Phone:323-665-5572
Mailing Address - Fax:323-665-5579
Practice Address - Street 1:5101 SANTA MONICA BLVD STE 4A
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90029-2479
Practice Address - Country:US
Practice Address - Phone:323-665-5572
Practice Address - Fax:323-665-5579
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-01
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty