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

Kiyana Kavoussi, OD

Individual provider Optometrist · NPI 1730752650

Kiyana Kavoussi, OD is an Optometrist in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021
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

12100 Wilshire Blvd Ste 1275
Los Angeles, CA 90025-7143
Phone: (310) 428-7712
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 35132 (CA)

Record details

NPI number1730752650
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedJuly 19, 2021
Last updated in NPPESNovember 22, 2024
Certification dateNovember 22, 2024

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