CMS-1500 Box 24J / 33a • NPI
1508505835
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
152WC0802X (CMS 41)
Licensed & Credentialed Eye and Vision Service Providers — Optometrist, Corneal and Contact Management
Box 32 Service Location & ZIP+4
4501 S ALAMEDA ST STE G-29, VERNON, CA, 90058-2010
✓ 9-Digit EDI 837 ZIP+4 (90058-2010)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1508505835 (HOVHANNES HOVHANNISYAN, OD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1508505835 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | HOVHANNES HOVHANNISYAN, OD |
| Plain-English Specialty | Licensed & Credentialed Eye and Vision Service Providers — Optometrist, Corneal and Contact Management NUCC Code: 152WC0802X (Optometrist, Corneal and Contact Management) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 4501 S ALAMEDA ST STE G-29, VERNON, CA, 90058-2010 |
| Practice Telephone / Fax | Tel: (323) 231-0005 |
| Administrative Mailing Address | PO BOX 58125, VERNON, CA, 90058-0125 |
| Enumeration & Last Sync | Enumerated: 2022-06-03 | CMS Record Updated: 2022-12-22 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (152WC0802X)
What Does Taxonomy Code 152WC0802X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 152WC0802X translates to:
"Licensed & Credentialed Eye and Vision Service Providers — Optometrist, Corneal and Contact Management"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (HOVHANNES HOVHANNISYAN, OD)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
152WC0802X — Optometrist, Corneal and Contact ManagementPlain English: Licensed & Credentialed Eye and Vision Service Providers — Optometrist, Corneal and Contact Management | State: CA | License: 35374 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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