Jane Pouvaranukoah (NPI# 1417477761, PAC ID# 9234468844) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1417477761 |
| PAC ID by PECOS | 9234468844 |
| Professional Enrollment ID | I20190906002903 |
| Full Name | Jane Pouvaranukoah |
| Organization Legal Name | GLENDALE OPTOMETRIC CENTER |
| Address |
308 E Broadway Glendale CA 91205-1011 |
| Phone Number | 8182431300 |
| Gender | F |
| Medical School | UNIVERSITY OF CALIFORNIA - SCHOOL OF OPTOMETRY |
| Graduation Year | 2017 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 2365532561 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 100 E Huntington Dr, Suite 102, Alhambra, CA 91801-1022 | 6262811399 | HUNTINGTON OPTOMETRIC CENTER |
| 308 E Broadway, Glendale, CA 91205-1011 | 8182431300 | GLENDALE OPTOMETRIC CENTER |
| Organization Legal Name | GLENDALE OPTOMETRIC CENTER |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bonnie C Peng | Optometry | Glendale Optometric Center | 308 E Broadway, Glendale, CA 91205-1011 |
| Jeffrey T Nishi | Optometry | Glendale Optometric Center | 308 E Broadway, Glendale, CA 91205-1011 |
| Stacey T Gin | Optometry | Glendale Optometric Center | 308 E Broadway, Glendale, CA 91205-1011 |
| Street Address |
308 E BROADWAY |
| City | GLENDALE |
| State | CA |
| Zip | 91205-1011 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bonnie C Peng | Optometry | Glendale Optometric Center | 308 E Broadway, Glendale, CA 91205-1011 |
| Jeffrey T Nishi | Optometry | Glendale Optometric Center | 308 E Broadway, Glendale, CA 91205-1011 |
| Stacey T Gin | Optometry | Glendale Optometric Center | 308 E Broadway, Glendale, CA 91205-1011 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Omar E Espinosa | General Practice | E1110s Glendale Ave, Glendale, CA 91205 | |
| Leon H Hoffman | Optometry | 113 E Broadway, Glendale, CA 91205-1006 | |
| Armen Derboghossians | Urology | 116 S Louise St, Glendale, CA 91205-1025 | |
| Lisa Ann Moreno | Nurse Practitioner | All for Health Health for All Inc | 519 E Broadway, Glendale, CA 91205-1110 |
| Noobar Janoian | Family Medicine | All for Health Health for All Inc | 519 E Broadway, Glendale, CA 91205-1110 |
| Artur Vardanyan | General Practice | All for Health Health for All Inc | 519 E Broadway, Glendale, CA 91205-1110 |
| Leonardo Garduno | Family Medicine | All for Health Health for All Inc | 519 E Broadway, Glendale, CA 91205-1110 |
| Diana Sayadyan | Family Medicine | All for Health Health for All Inc | 519 E Broadway, Glendale, CA 91205-1110 |
| Arpi Hambarchyan | Family Medicine | All for Health Health for All Inc | 519 E Broadway, Glendale, CA 91205-1110 |
| Bessy M Martirosyan | Psychiatry | All for Health Health for All Inc | 519 E Broadway, Glendale, CA 91205-1110 |
| Find all physicians in zip 91205 | |||
| City | GLENDALE |
| Zip Code | 91205 |
| Specialty | OPTOMETRY |
| City + Specialty | GLENDALE + OPTOMETRY |
Please comment or provide details below to improve the information on Jane Pouvaranukoah.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.