Broadway Family Optometry
Broadway Family Optometry is a healthcare organization registered as Optometrist in Glendale, CA, holding Type 2 (organization) NPI 1265101158 since 2021. The authorized official on file is Boris Mardian, Optometrist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1265101158 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Broadway Family Optometry |
| Practice address | 113 E BROADWAY, Glendale, CA, 91205 |
| Phone | 8182417719 |
| Fax | 8182417719 |
| Enumeration date | 2021-09-13 |
| Last updated in NPPES | 2021-09-13 |
Authorized official
| Name | Boris Mardian |
|---|---|
| Title | Optometrist |
| Phone | 8182417719 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 152W00000X | Optometrist | Primary | — | — |
Copy-ready billing details
Provider: Broadway Family Optometry NPI: 1265101158 Taxonomy: 152W00000X (Optometrist) Address: 113 E BROADWAY, Glendale, CA, 91205
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1477579506 | Boris Mardian | Individual | Optometrist | Glendale, CA |
| 1861589608 | Leon Hoffman | Individual | Optometrist | Glendale, CA |
Verify this record
Cross-check NPI 1265101158 against the authoritative CMS record: view Broadway Family Optometry on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Broadway Family Optometry located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-09-13.