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

Individual provider Optometrist · NPI 1619085149

Dr. Stacey T. Gin, OD is an Optometry in Glendale, California. Graduated from Southern California College of Optometry in 2006, 20 years ago. Practices with Huntington Optometric Center, a 6-clinician group. Licensed in California.

Years since qualifying
20
Trained at
Southern California College of Optometry
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

308 E Broadway
Glendale, CA 91205-1011
Phone: (818) 243-1300
Fax: (818) 243-1583
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 13022 (CA)

Record details

NPI number1619085149
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedAugust 25, 2006
Last updated in NPPESApril 10, 2008
Mailing address308 E Broadway, Glendale, CA 91205-1011

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduated 2006 (20 years in practice)
Group practice Huntington Optometric Center — 6 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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