IDA SIMONYAN OD
NPI 1053085175
Optometrist in Glendale, CA

Active since August 03, 2021PECOS EnrolledAccepts Medicare Assignment
330 N BRAND BLVD STE 110, GLENDALE, CA 91203(708) 423-1515 Get Directions Write a Review

NPPES record last updated: July 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 17, 2023, Aug 3, 2021 (2 updates tracked since 2021).

About Ida Simonyan Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IDA SIMONYAN OD (NPI 1053085175) is an individual optometrist in Glendale, California, licensed in Illinois (046.011556) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1053085175
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameIDA SIMONYANCredential: OD
Location Address330 N BRAND BLVD STE 110Glendale, CA 91203-2308
Mailing Address320 Chicago Ridge MallChicago Ridge, IL 60415-2602 · (708) 423-1515
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 3, 2021
Last NPPES UpdateJuly 17, 20232 updates tracked since enumeration
NPPES CertifiedJuly 17, 2023
NPI 1053085175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in IL · 046.011556
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
330 N BRAND BLVD STE 110, Glendale, CA 91203

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ida Simonyan Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395116024
PECOS Enrollment IDI20230117001815
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
1,432 services1,394 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
1,277 services1,242 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
1,168 services1,168 patients
New patient problem focused exam of visual system 92002
A new patient problem-focused exam of the visual system is a basic evaluation of your eyes and vision. It includes checking your eye movements, visual acuity, and general eye health. It helps detect any potential issues early for timely treatment.
65 services65 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91203 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
330 N BRAND BLVD STE 110
GLENDALE, CA 91203
Optometrist
330 N BRAND BLVD STE 110, C/O ADVANCED EYECARE PROFESSIONAL OPTOMETRIC GROUP
GLENDALE, CA 91203
Optometrist
330 N BRAND BLVD STE 110
GLENDALE, CA 91203
Optometrist
330 N BRAND BLVD STE 110
GLENDALE, CA 91203
Optometrist
330 N BRAND BLVD STE 110
GLENDALE, CA 91203
Optometrist
330 N BRAND BLVD STE 110
GLENDALE, CA 91203
Optometrist
330 N BRAND BLVD STE 110
GLENDALE, CA 91203

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ida Simonyan's NPI number?

The NPI number for Ida Simonyan is 1053085175. It was assigned to this individual provider in the NPPES registry on August 3, 2021.

Where is Ida Simonyan located?

Ida Simonyan practices at 330 N Brand Blvd Ste 110, Glendale, CA 91203. The listed phone number is (708) 423-1515.

What is Ida Simonyan's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Ida Simonyan enrolled in Medicare?

Yes. Ida Simonyan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ida Simonyan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Ida Simonyan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ida Simonyan was last updated on July 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.