Provider Demographics
NPI:1992886113
Name:HAKOPIAN, SARA SRBUI (OD)
Entity type:Individual
Prefix:DR
First Name:SARA
Middle Name:SRBUI
Last Name:HAKOPIAN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:MS
Other - First Name:SRBUI
Other - Middle Name:SARA
Other - Last Name:KHODABAKSHYAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:421 E ANGELENO AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91501-2286
Mailing Address - Country:US
Mailing Address - Phone:818-556-3600
Mailing Address - Fax:
Practice Address - Street 1:421 E ANGELENO AVE STE 101
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91501-2286
Practice Address - Country:US
Practice Address - Phone:818-556-3600
Practice Address - Fax:818-556-3600
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOPT 13023 T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACZ775AMedicare PIN