Healthcare Provider Details

I. General information

NPI: 1982520573
Provider Name (Legal Business Name): ALEXIA MOVSESSIAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1451 E CHEVY CHASE DR STE 100
GLENDALE CA
91206-4056
US

IV. Provider business mailing address

1018 DELAWARE RD
BURBANK CA
91504-3025
US

V. Phone/Fax

Practice location:
  • Phone: 818-409-1777
  • Fax:
Mailing address:
  • Phone: 818-970-8848
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number36324
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: