| Ronald V Black, OD | |
|
330 N Brand Blvd, Suite 110, Glendale, CA 91203-2308 | |
| (818) 240-0890 | |
| (818) 246-2540 |
| Full Name | Ronald V Black |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 33 Years |
| Location | 330 N Brand Blvd, Glendale, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821032442 | NPI | - | NPPES |
| 1306035118 | Medicaid | CA | |
| 1821032442 | Other | CA | NPI |
| OPT9869T | Other | CA | OPTOMETRY LICENSE |
| 6191070001 | Other | CA | DME MACS PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPT9869T (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dr Movses Djanbatian O D Inc | 2466639059 | 5 |
| Provider Name | Advanced Eyecare Professional Optometric Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1306035118 PECOS PAC ID: 9931263803 Enrollment ID: O20090424000210 |
| Provider Name | Advanced Eyecare Professional Optometric Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1306035118 PECOS PAC ID: 9931263803 Enrollment ID: O20090513000471 |
| Provider Name | Dr Movses Djanbatian O D Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1053503581 PECOS PAC ID: 2466639059 Enrollment ID: O20110608000212 |
| Provider Name | Brand Optometry A Prof Corp |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1629803168 PECOS PAC ID: 3870025513 Enrollment ID: O20241018001299 |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald V Black, OD 330 N Brand Blvd, Suite 110, Glendale, CA 91203 Ph: (818) 240-0890 | Ronald V Black, OD 330 N Brand Blvd, Suite 110, Glendale, CA 91203-2308 Ph: (818) 240-0890 |
John J. Mielke, O.d. Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 801 S Chevy Chase Dr Ste 100, Glendale, CA 91205 Phone: 818-956-8785 Fax: 818-956-5367 | |
Dr. Megan Quan, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 409 N Central Ave, Glendale, CA 91203 Phone: 818-265-7755 | |
Lillyt Ouzounian, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1101 Galleria Way, Glendale, CA 91210 Phone: 818-552-4450 | |
Dr. Movses D'janbatian, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 330 N Brand Blvd, Suite 110, Glendale, CA 91203 Phone: 818-241-4921 Fax: 818-241-0468 | |
Dr. Arlene T. Yepremian, O.d. A Professional Corporation Optometrist Medicare: Medicare Enrolled Practice Location: 839 N Glendale Ave, Glendale, CA 91206 Phone: 818-240-3937 Fax: 818-240-3933 | |
Ida Simonyan, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 330 N Brand Blvd Ste 110, Glendale, CA 91203 Phone: 708-423-1515 | |
Dr. Movses D'janbatian, Od, Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 330 N Brand Blvd, Suite 110, Glendale, CA 91203 Phone: 818-241-4921 Fax: 818-241-0468 |