Provider Demographics
NPI:1295033496
Name:AFFORDABLE VISION CENTER INC
Entity Type:Organization
Organization Name:AFFORDABLE VISION CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BIANA
Authorized Official - Middle Name:LERNA
Authorized Official - Last Name:OHANIAN- GONCUIAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:818-593-3451
Mailing Address - Street 1:7301 MEDICAL CENTER DR STE 410
Mailing Address - Street 2:
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-1994
Mailing Address - Country:US
Mailing Address - Phone:818-593-3451
Mailing Address - Fax:818-340-5650
Practice Address - Street 1:7301 MEDICAL CENTER DR STE 410
Practice Address - Street 2:
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-1994
Practice Address - Country:US
Practice Address - Phone:818-593-3451
Practice Address - Fax:818-340-5650
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AFFORDABLE VISION CENTER INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-03-11
Last Update Date:2011-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty