MEDICARE: SPECIALTY EYE CARE MEDICAL CENTER, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician

General Provider Information

NPI Number	:	1083568323
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPECIALTY EYE CARE MEDICAL CENTER, INC.

Provider Business Mailing Address
First Line	:	7739 SANTA MONICA BLVD
Second Line	:
City	:	WEST HOLLYWOOD
State	:	CA
Zip	:	90046-6207
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7739 SANTA MONICA BLVD
Second Line	:
City	:	WEST HOLLYWOOD
State	:	CA
Zip	:	90046-6207
Country	:	US
Telephone Number	:	818-265-7777
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	NICOLE MIRZOYAN
Credential	:
Telephone Number	:	626-696-0324

Provider Enumeration Date	:	02/24/2026
Last Update Date	:	02/24/2026

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