DR. ALIQUE BOULGOURJIAN OD
NPI 1891569356
Optometrist in Westlake Village, CA

Q: What is Alique Boulgourjian's NPI number?

The NPI number for Alique Boulgourjian is 1891569356. It was assigned to this individual provider in the NPPES registry on November 14, 2023.

Q: What is Alique Boulgourjian's specialty?

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

Active since November 14, 2023PECOS EnrolledAccepts Medicare Assignment

4353 PARK TERRACE DR STE 150, WESTLAKE VILLAGE, CA 91361(805) 987-5300(818) 707-7668 Get Directions Write a Review

NPPES record last updated: March 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 5, 2024, Nov 14, 2023 (2 updates tracked since 2023).

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About Dr. Alique Boulgourjian Od NPPES

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

DR. ALIQUE BOULGOURJIAN OD (NPI 1891569356) is an individual optometrist in Westlake Village, California, licensed in California (35606) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of Western University Of Health Sciences College Of Dental Med (2022).

NPPES Registry Identity

NPI1891569356

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. ALIQUE BOULGOURJIANCredential: OD

Location Address4353 PARK TERRACE DR STE 150Westlake Village, CA 91361-4639

Mailing Address4353 Park Terrace Dr Ste 150Westlake Village, CA 91361-4639 · (805) 987-5300 · Fax (818) 707-7668

Phone(805) 987-5300

Fax(818) 707-7668

Sole ProprietorYes

Medical School CMSWestern University Of Health Sciences College Of Dental MedGraduated 2022

Enumeration DateNovember 14, 2023

Last NPPES UpdateMarch 5, 20242 updates tracked since enumeration

NPPES CertifiedMarch 5, 2024

✔ NPI 1891569356 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 · 35606

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.

4353 PARK TERRACE DR STE 150, Westlake Village, CA 91361

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.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

Dr. Alique Boulgourjian 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 ID6103263801

PECOS Enrollment IDI20240318000836

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 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.

95 services80 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

51 services49 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.

20 services20 patients

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.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91361 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

$140.72 typical visit price

range $62.32 – $185.36

Typical copayment $35.18 (range $15.58 – $46.34)

Most-billed visit code 99204

Established Patient

$77.11 typical visit price

range $20.68 – $151.85

Typical copayment $19.27 (range $5.17 – $37.96)

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 12

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

MS. XIAOLIN ZHANG M.D.

Ophthalmology