MARK VENTOCILLA, O.D., INC


Address: 613 E Grand Ave, Escondido, CA 92025-4402
Phone: 7607477979

MARK VENTOCILLA, O.D., INC (NPI# 1295027613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295027613
Entity Type Organization
Organization Name MARK VENTOCILLA, O.D., INC
Practice Address 613 E Grand Ave
Escondido
CA 92025-4402
Practice Telephone 7607477979
Practice Fax Number 7607477799
Mailing Telephone 7607477979
Mailing Fax Number 7607477799
Enumeration Date 2011-05-03
Last Update Date 2012-03-12
Authorized Official Name DR. MARK AUGUSTO VENTOCILLA (OWNER)
Authorized Official Telephone 6165020069
Authorized Official Credential OD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152WP0200X Optometrist
Specialization: Pediatrics
10435 CA Eye and Vision Services Providers

Office Location

Street Address 613 E GRAND AVE
City ESCONDIDO
State CA
Zip Code 92025-4402

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770588485 John Clayton Urey Optometrist 613 E Grand Ave, Escondido, CA 92025-4402 2005-06-17
1891259123 Eric Verret O.d., Inc Eyewear Supplier (Equipment, not the service) 613 E Grand Ave, Escondido, CA 92025-4402 2019-01-31
1235483934 Georgina Marie Blanc Optometrist 613 E Grand Ave, Escondido, CA 92025-4402 2012-11-01
1982896817 Daniel R Delgado Optometrist 613 E Grand Ave, Escondido, CA 92025-4402 2007-08-14
1194891853 Eric Verret Optometrist 613 E Grand Ave, Escondido, CA 92025-4402 2006-11-27
1922170463 Neville Stanley Cohen Optometrist 613 E Grand Ave, Escondido, CA 92025-4402 2006-11-13
1528158664 Mark Augusto Ventocilla Optometrist 613 E Grand Ave, Escondido, CA 92025-4402 2006-10-12
1073624300 Daniel R Delgado, Od, PC Optometrist 613 E Grand Ave, Escondido, CA 92025-4402 2006-08-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962001230 Tanya Geanna Macleod Peer Specialist 474 West Vermont Ave., Ste., 101, Escondido, CA 92025 2020-10-19
1801449640 Jennifer Marsh Marriage & Family Therapist 403 N Escondido Blvd #533, Escondido, CA 92025 2019-07-21
1093281644 Lucy Breen Peer Specialist 474 Weest Vermont Ave #104, Escondido, CA 92025 2018-10-22
1457834665 Daniel & Max Optometrist 730 N Center City Parkway, Building A-1, Suite 101, Escondido, CA 92025 2018-09-13
1477033272 Hyoshin Kwak Acupuncturist 106 S. Grape St, Suite 10, Escondido, CA 92025 2018-08-21
1467948877 Irma P Garcia Counselor 337 West Mission Ave, Escondido, CA 92025 2018-07-09
1295235380 Anna M. Rainville Marriage & Family Therapist 11701 San Pasqual Valley Rd, Escondido, CA 92025 2018-02-15
1689187049 Monica Pino Occupational Therapist 469 E Grand Avenue, Escondido, CA 92025 2017-11-08
1427569581 Mtk Primary Care Medical Group Specialist 1835a S Centre City Pkwy Ste 459, Escondido, CA 92025 2017-10-17
1619490349 Elizabeth Sanchez Arvizu Student in an Organized Health Care Education/Training Program 490 N. Grape Stret, Escondido, CA 92025 2017-07-25
Find all providers in zip 92025

Taxonomy Information

Taxonomy Code 152WP0200X
Grouping Eye and Vision Services Providers
Classification Optometrist
Specialization Pediatrics

Taxonomy Definition

Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.
Notes: Source: American Optometric Association [1/1/2009: added definition, added source]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1316508781 Dale Choi Od Inc Optometrist 2456 W 229th Pl, Torrance, CA 90501-5238 2019-06-26
1801335542 Kelly C. Kao, O.d., A Professional Corporation Optometrist 1580 W El Camino Real Ste 6, Mountain View, CA 94040-2462 2017-02-14
1639439730 Paul T. Woo Optometric Corporation Optometrist 1234 S Garfield Ave Ste 105, Alhambra, CA 91801-5068 2012-05-22
1437425196 Philip C Diorio Optometrist 1059 Granville Dr, Newport Beach, CA 92660-6205 2012-03-27
1902012362 Lillian Ing-ling Wang Optometrist 503 Augusta Dr, Moraga, CA 94556-3002 2007-05-15
1467575993 Marianne Pia Hoenig Optometrist Binocular Vision Clinic School of Optometry, University of California Berkeley, Berkeley, CA 94720-2020 2007-04-09
1194845248 James Albert Stewart Optometrist 6053 N Palm Ave, Fresno, CA 93704-1623 2007-03-30
1083769905 Philip Ong Optometrist 6531 Crown Blvd Ste 4, San Jose, CA 95120-2906 2007-01-23
1669542916 Arlene D Espiritu Optometrist 2101 Stone Blvd Ste 150, West Sacramento, CA 95691-4054 2006-11-08
1982704979 Leanne Lee Optometrist 2321 W March Ln, Ste A, Stockton, CA 95207-5261 2006-09-22
Find all providers with the same taxonomy

Competitor

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City ESCONDIDO
Zip Code 92025

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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