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TYNA PEDRAM O.D.
NPI 1578819462
Optometrist in Los Angeles, CA

Active since July 27, 2012
11701 WILSHIRE BLVD, LOS ANGELES, CA 90025(310) 820-7866 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tyna Pedram O.d. NPPES

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

TYNA PEDRAM O.D. (NPI 1578819462) is an individual optometrist in Los Angeles, California, licensed in California (14464) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1578819462
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameTYNA PEDRAMCredential: O.D.
Location Address11701 WILSHIRE BLVDLos Angeles, CA 90025-1546
Mailing Address11611 San Vicente Blvd Ste 500Los Angeles, CA 90049-6505
Phone(310) 820-7866
Sole ProprietorYes
Enumeration DateJuly 27, 2012
Last NPPES UpdateMay 22, 2025
NPPES CertifiedMay 22, 2025
✔ NPI 1578819462 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 CA · 14464
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.
11701 WILSHIRE BLVD, Los Angeles, CA 90025
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 4

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

PIROOZ PHARMACY, INC.
Pharmacist
11701 WILSHIRE BLVD, STORE # 3
LOS ANGELES, CA 90025
Los Angeles County (310) 473-3323
DR. ALEXIS LOUISE PELEKANOS DDS
Dentist (General Practice)
11701 WILSHIRE BLVD, SUITE 13-A
LOS ANGELES, CA 90025
Los Angeles County (310) 826-1181
DR. GENE JACOB LANG PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
11701 WILSHIRE BLVD
LOS ANGELES, CA 90025
Los Angeles County (310) 473-3323
KIMBERLY VAN DE WETERING P.T.
Physical Therapist
11701 WILSHIRE BLVD
LOS ANGELES, CA 90025
Los Angeles County (310) 478-3711

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 Tyna Pedram's NPI number?

The NPI number for Tyna Pedram is 1578819462. It was assigned to this individual provider in the NPPES registry on July 27, 2012.

Where is Tyna Pedram located?

Tyna Pedram practices at 11701 Wilshire Blvd, Los Angeles, CA 90025. The listed phone number is (310) 820-7866.

What is Tyna Pedram's specialty?

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

What insurance does Tyna Pedram accept?

Health plans from Providence Health Plan list Tyna Pedram 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 Tyna Pedram was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.