Broadway Family Optometry
NPI 1265101158 · Optometrist · Glendale, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Broadway Family Optometry is a Optometrist organization in Glendale, CA (NPI 1265101158).
Provider details
- NPI number
- 1265101158
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Boris Mardian, Optometrist(818) 241-7719
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-09-13
- Last updated
- 2021-09-13
- Certified
- 2021-09-13
Frequently asked questions
- What is Broadway Family Optometry's NPI number?
- Broadway Family Optometry's National Provider Identifier (NPI) is 1265101158, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Broadway Family Optometry?
- Broadway Family Optometry is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Broadway Family Optometry located?
- Broadway Family Optometry's practice location on file with NPPES is 113 E Broadway, Glendale, CA 91205-1006.
- What is Broadway Family Optometry's phone number?
- The practice phone number listed in the NPPES registry for Broadway Family Optometry is (818) 241-7719.
- Does Broadway Family Optometry accept Medicare?
- Broadway Family Optometry is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Broadway Family Optometry?
- The authorized official listed on Broadway Family Optometry's NPPES record is Boris Mardian, Optometrist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Broadway Family Optometry's NPI active?
- Yes — Broadway Family Optometry's NPI (1265101158) is active in the NPPES registry as of the last update on 2021-09-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.