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

Selvin Robin Gnanakkan, OD

Individual provider Optometrist · NPI 1104980846

Selvin Robin Gnanakkan, OD is an Optometry in Glendale, Arizona. Graduated from Pennsylvania College of Optometry in 2001, 25 years ago. Practices with Chesapeake Eye Care and Laser Center LLC, a 80-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona, Florida, Louisiana and Maryland and 3 more.

Years since qualifying
25
Trained at
Pennsylvania College of Optometry
Licensed in
AZ, FL, LA, MD, PA, VA
In the registry since
2006
Specialties on file
7
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

7122 N 59th Ave Fl 1
Glendale, AZ 85301-2436
Phone: (623) 931-1043
Fax: (602) 535-3165
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3110 Lord Baltimore Dr Ste 103, Baltimore, MD 21244-2644 — (410) 277-3937
  • 14465 Potomac Mills Rd, Woodbridge, VA 22192-6807 — (703) 494-6184

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPT-001127 (AZ)
Ophthalmology Physician Taxonomy 207W00000X · Licence TA1769 (MD)
Optometrist Taxonomy 152W00000X · Licence 0618001366 (VA)
Optometrist Taxonomy 152W00000X · Licence 21201-875 (WI)
Optometrist Taxonomy 152W00000X · Licence 1976-922AT (LA)
Optometrist Taxonomy 152W00000X · Licence OEG003214 (PA)
Optometrist Taxonomy 152W00000X · Licence TPOP129 (FL)

Record details

NPI number1104980846
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedDecember 20, 2006
Last updated in NPPESMarch 21, 2026
Certification dateMarch 21, 2026

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolPENNSYLVANIA COLLEGE OF OPTOMETRY
Graduated 2001 (25 years in practice)
Group practice Chesapeake Eye Care And Laser Center Llc — 80 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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