Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Shakeh J Bagdassar, OD

Individual provider Optometrist · NPI 1578672234

Dr. Shakeh J Bagdassar, OD is an Optometry in Glendale, California. Qualified in 1991, 35 years ago. Practices as a sole proprietor. Licensed in California.

Years since qualifying
35
Licensed in
CA
In the registry since
2006
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

1101 N Pacific Ave Ste 105
Glendale, CA 91202-3250
Phone: (818) 243-1111
Fax: (818) 243-1375
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 9792T (CA)

Record details

NPI number1578672234
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedAugust 29, 2006
Last updated in NPPESJune 23, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Accepts Medicare assignment Not indicated

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