GEORGE M RAJACICH MD INC (NPI# 1811964653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811964653 |
| Entity Type | Organization |
| Organization Name | GEORGE M RAJACICH MD INC |
| Other Organization Name | VALLEY EYE CENTER |
| Practice Address |
14914 Sherman Way Van Nuys CA 91405-2113 |
| Practice Telephone | 8187872020 |
| Practice Fax Number | 8187878652 |
| Mailing Telephone | 8187872020 |
| Mailing Fax Number | 8187878652 |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2008-08-07 |
| Authorized Official Name | DR. GEORGE M RAJACICH (PRESIDENT) |
| Authorized Official Telephone | 8187872020 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | G044103 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0063310 | 05 | |
| CA | PPIN NUMBER | WG44103D | 01 |
| CA | BLUE SHIELD | ZZZ91696Z | 01 |
| Other Name | Type Code |
|---|---|
| VALLEY EYE CENTER | Doing Business As Name - Organization |
| Street Address |
14914 SHERMAN WAY |
| City | VAN NUYS |
| State | CA |
| Zip Code | 91405-2113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831194398 | Doreen T Fazio | Ophthalmology | 14914 Sherman Way, Van Nuys, CA 91405-2113 | 2005-06-20 |
| 1699320499 | Adrig Sarian | Optometrist | 14914 Sherman Way, Van Nuys, CA 91405-2113 | 2019-08-08 |
| 1811244635 | Ghazaleh Matian | Optometrist | 14914 Sherman Way, Van Nuys, CA 91405-2113 | 2012-08-10 |
| 1215127691 | Julie Oh | Optometrist | 14914 Sherman Way, Van Nuys, CA 91405-2113 | 2007-07-31 |
| 1437278819 | Nga Thuy Lu | Optometrist | 14914 Sherman Way, Van Nuys, CA 91405-2113 | 2007-03-28 |
| 1720115850 | Hetty Yi Kim | Optometrist | 14914 Sherman Way, Van Nuys, CA 91405-2113 | 2007-02-27 |
| 1255417705 | Ira S Latto | Ophthalmology | 14914 Sherman Way, Van Nuys, CA 91405-2113 | 2006-10-27 |
| 1649211533 | Darin Eye Center A Medical | Ophthalmology | 14914 Sherman Way, Van Nuys, CA 91405-2113 | 2006-06-09 |
| 1992746275 | Rex B Villegas | Optometrist | 14914 Sherman Way, Van Nuys, CA 91405-2113 | 2006-06-09 |
| 1023098613 | Hanh T Le | Optometrist | 14914 Sherman Way, Van Nuys, CA 91405-2113 | 2006-01-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033955 | Pro-med Hospice Inc | Hospice Care, Community Based | 6621 Van Nuys Blvd, Unit 108, Van Nuys, CA 91405 | 2020-11-08 |
| 1205452174 | Graeme Matthewson | Student in an Organized Health Care Education/Training Program | 6815 Noble Avenue, Van Nuys, CA 91405 | 2020-06-17 |
| 1023671179 | Cory Andrew Kwong | Student in an Organized Health Care Education/Training Program | C/o Lauren Daoust - Southern California Orthopedic Inst, 6815 Noble Avenue, Van Nuys, CA 91405 | 2019-04-15 |
| 1871052878 | Eric Nunez | Behavior Technician | 7226 Sepulveda Boulevard, Van Nuys, CA 91405 | 2019-03-19 |
| 1487113437 | Cindy Antillon | Behavior Technician | 7226 Sepulveda Blvd. Van Nuys, Ca 91405, Van Nuys, CA 91405 | 2019-03-19 |
| 1326507690 | Jordan Elliot Brooks | Behavior Technician | 7226 Sepulveda Blvd., Van Nuys, CA 91405 | 2019-03-17 |
| 1689132110 | Bright Star Home Health Care, Inc. | Home Health | 7141 Wooley Ave, Van Nuys, CA 91405 | 2019-03-04 |
| 1336650498 | Avanti Transportation Services, LLC | Private Vehicle | 7020 Lennox Ave #7, Van Nuys, CA 91405 | 2017-10-17 |
| 1801312434 | Marissa Topete | Rehabilitation Counselor | 14624 Sherman Way, Suite 404, Van Nuys, CA 91405 | 2017-08-15 |
| 1750802468 | Selin Ani Zarmanoglu | Marriage & Family Therapist | 14600 Sherman Way #100d, Van Nuys, CA 91405 | 2017-07-03 |
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| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891174827 | Private Label Enterprises Inc | Eyewear Supplier (Equipment, not the service) | 14037 Vanowen St, Van Nuys, CA 91405-4144 | 2015-05-22 |
| 1396984621 | Kazak Mars Inc | Eyewear Supplier (Equipment, not the service) | 7037 Hayvenhurst Ave, Van Nuys, CA 91406-3802 | 2009-02-10 |
| 1013306950 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 6100 Sepulveda Blvd, Van Nuys, CA 91411-2503 | 2015-01-15 |
| 1770634974 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 5711 Sepulveda Blvd, Van Nuys, CA 91411-2918 | 2007-01-15 |
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| 1700485562 | Vision Faire Optometry, Inc. A Professional Optometric Corporation | Eyewear Supplier (Equipment, not the service) | 4213 Dale Rd Ste A-2, Modesto, CA 95356-8505 | 2020-10-22 |
| 1154929859 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 5500 W Sunset Blvd, Los Angeles, CA 90028 | 2020-10-14 |
| 1295333029 | Tiger & Lion Inc | Eyewear Supplier (Equipment, not the service) | 1251 S Beach Blvd Ste F, La Habra, CA 90631-6397 | 2020-10-14 |
| 1245866565 | Joshua Adolfo Velasquez | Eyewear Supplier (Equipment, not the service) | 849 N Ridgewood Pl, Los Angeles, CA 90038-4302 | 2020-03-18 |
| 1952948424 | Luvc LLC | Eyewear Supplier (Equipment, not the service) | 2223 Carlton Ave, Pomona, CA 91768-1015 | 2019-12-04 |
| 1568011377 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 6440 E. Pacific Coast Highway, Space B-165, Long Beach, CA 90803 | 2019-09-05 |
| 1184270746 | Nueyes Technologies Inc | Eyewear Supplier (Equipment, not the service) | 120 Newport Center Dr # 232, Newport Beach, CA 92660-6916 | 2019-08-09 |
| 1881248102 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 12182 1/2 Ventura Blvd, Studio City, CA 91604-2517 | 2019-07-25 |
| 1730732363 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 1628 Redwood Hwy Spc D017, Corte Madera, CA 94925-1248 | 2019-07-23 |
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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.