Search › Arizona › 152W00000X
Selvin Gnanakkan, OD
NPI 1104980846 · on the registry since 2006
Practice
- Address
- 7122 N 59th Ave Fl 1
Glendale, AZ 85301 - Phone
- (623) 931-1043
- Fax
- (602) 535-3165
- Organisation at this address
- Bella Vista Optical Pllc
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 14465 Potomac Mills Rd, Woodbridge, VA
- 3110 Lord Baltimore Dr Ste 103, Baltimore, MD
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 207W00000X
152W00000X
152W00000X
152W00000X
152W00000X
152W00000X - Licence states on file
- AZ, MD, VA, WI, LA, PA, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-03-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona