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

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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