Provider Demographics
NPI:1699038133
Name:NAZARIANS, SARINE (OD)
Entity Type:Individual
Prefix:DR
First Name:SARINE
Middle Name:
Last Name:NAZARIANS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:SARINE
Other - Middle Name:
Other - Last Name:ISHAKIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:13652 CANTARA ST
Mailing Address - Street 2:OPTOMETRY NORTH 2 BUILDING
Mailing Address - City:PANORAMA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91402-5423
Mailing Address - Country:US
Mailing Address - Phone:818-375-3672
Mailing Address - Fax:
Practice Address - Street 1:13652 CANTARA ST
Practice Address - Street 2:OPTOMETRY NORTH 2 BUILDING
Practice Address - City:PANORAMA CITY
Practice Address - State:CA
Practice Address - Zip Code:91402-5423
Practice Address - Country:US
Practice Address - Phone:818-375-3672
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-20
Last Update Date:2021-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14399152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist