Glendale Optometric Center
Glendale Optometric Center is a healthcare organization registered as Optometrist in Glendale, CA, holding Type 2 (organization) NPI 1801093653 since 2007. The authorized official on file is Stacey Gin, Optometrist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1801093653 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Glendale Optometric Center |
| Practice address | 308 E BROADWAY, Glendale, CA, 91205 |
| Phone | 8182431300 |
| Enumeration date | 2007-06-27 |
| Last updated in NPPES | 2008-04-09 |
Authorized official
| Name | Stacey Gin |
|---|---|
| Title | Optometrist |
| Phone | 8182431300 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 152W00000X | Optometrist | Primary | 13022 | CA |
Copy-ready billing details
Provider: Glendale Optometric Center NPI: 1801093653 Taxonomy: 152W00000X (Optometrist) Address: 308 E BROADWAY, Glendale, CA, 91205
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1619085149 | Stacey Gin | Individual | Optometrist | Glendale, CA |
| 1730258476 | Duane Decroupet Od A PC | Organization | Optometrist | Glendale, CA |
| 1356598288 | Esther Chung | Individual | Low Vision Rehabilitation Optometrist | Glendale, CA |
| 1588977847 | Jeffrey Nishi | Individual | Optometrist | Glendale, CA |
Verify this record
Cross-check NPI 1801093653 against the authoritative CMS record: view Glendale Optometric Center 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
How current is this record?
Where is Glendale Optometric Center located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-04-09.