Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Selvin Robin Gnanakkan, OD

Optometrist in Glendale, AZ · enumerated 2006 · practices at Bella Vista Optical Pllc.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104980846

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Registry record

Entity type Individual (Type 1)

Name Selvin Robin Gnanakkan

Credential OD

Sex Male

Practice address 7122 N 59th Ave Fl 1, Glendale, AZ, 85301

Phone (623) 931-1043

Fax (602) 535-3165

Enumeration date Dec 20, 2006

Last updated in NPPES Mar 21, 2026

Taxonomy & licenses

152W00000X Optometrist Eye and Vision Services Providers · License OPT-001127 (AZ) Primary

207W00000X Ophthalmology Physician Allopathic & Osteopathic Physicians · License TA1769 (MD) Secondary

152W00000X Optometrist Eye and Vision Services Providers · License 0618001366 (VA) Secondary

152W00000X Optometrist Eye and Vision Services Providers · License 21201-875 (WI) Secondary

152W00000X Optometrist Eye and Vision Services Providers · License 1976-922AT (LA) Secondary

152W00000X Optometrist Eye and Vision Services Providers · License OEG003214 (PA) Secondary

152W00000X Optometrist Eye and Vision Services Providers · License TPOP129 (FL) Secondary

OD · Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses. About the OD credential

Other identifiers

Identifier	Type	State	Issuer
900139064	Medicaid	AZ	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Selvin Gnanakkan?

The National Provider Identifier (NPI) for Selvin Gnanakkan is 1104980846, a Type 1 (individual) record in the CMS NPPES registry.

Where does Selvin Gnanakkan practice?

The practice location on file with NPPES is in Glendale, AZ. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Bella Vista Optical Pllc Optometrist · Glendale, AZ NPI 1154607943

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-03-21.