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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WP0200X |
Optometrist Specialization: Pediatrics |
10435 | CA | Eye and Vision Services Providers |
| Street Address |
613 E GRAND AVE |
| City | ESCONDIDO |
| State | CA |
| Zip Code | 92025-4402 |
| 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 |
| 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 Code | 152WP0200X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Pediatrics |
| 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] |
| 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 | ||||
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| 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.