DR. IRENA BEKHTEL (NPI# 1366544363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366544363 |
| Entity Type | Individual |
| Full Name | DR. IRENA BEKHTEL |
| Other Name | DR. IRENA BEKHTEL |
| Credential | OD |
| Practice Address |
4762 Saint Andrews Dr Stockton CA 95219-1915 |
| Mailing Address |
4915 Claremont Ave Stockton CA 95207-5707 |
| Practice Telephone | 2095940554 |
| Mailing Telephone | 2099563323 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2012-10-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | OPC3279 | FL | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | 12748 | CA | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 4104 | MA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | DAVIS | 10578 | 01 |
| MA | TUFTS | 410376 | 01 |
| MA | 0313807 | 05 | |
| CA | EYEMED | 1274 | 01 |
| MA | CIGNA | 9607387-004 | 01 |
| MA | NHP | 0019950 | 01 |
| MA | HPHC | E314 | 01 |
| MA | BCBS | W16212 | 01 |
| Street Address |
4762 SAINT ANDREWS DR |
| City | STOCKTON |
| State | CA |
| Zip Code | 95219-1915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821568494 | Vanessa Paola Uribe Morales | Behavior Technician | 3620 Hammer Lane, Stockton, CA 95219 | 2018-11-27 |
| 1306316930 | Zulema Cecilia Santana | Behavior Technician | 3620 W. Hammer Ln, Stockton, CA 95219 | 2018-11-27 |
| 1699245241 | Tiana Gonzalez | Behavior Technician | 3620 W. Hammer Ln., Stockton, CA 95219 | 2018-11-27 |
| 1609346220 | Kelly Morales | Behavior Technician | 3620 W Hammer Lane, Stockton, CA 95219 | 2018-11-26 |
| 1336619956 | Mouagoleah Her | Behavior Technician | 3620 W. Hammer Lane, Stockton, CA 95219 | 2018-11-26 |
| 1750837985 | Alexsandra Trejo | Marriage & Family Therapist | 6707 Embarcadero Drive, Stockton, CA 95219 | 2016-08-28 |
| 1659764397 | Integrated Pain Treatment Center | Pain Medicine | 4312 Feather River Drive, Suite C, Stockton, CA 95219 | 2015-03-05 |
| 1790180859 | Mary Karen Papagolos | Marriage & Family Therapist | 2800 W March Ln Ste 473, Stockton, CA 95219 | 2014-10-30 |
| 1932535648 | Morton Rothbard | Urology | 4673 Pine Valley Cir., Stockton, CA 95219 | 2013-09-26 |
| 1033482591 | Michelle M Rutherford | Physical Therapist | 10200 Trinity Pkwy Ste 205, Stockton, CA 95219 | 2012-02-14 |
| Find all providers in zip 95219 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316577562 | Valley Optometry PC | Optometrist | 87 W March Ln Ste 2, Stockton, CA 95207-5731 | 2020-01-16 |
| 1871045955 | Brandon Wong | Optometrist | 3566 Bluelake Cir, Stockton, CA 95219-1747 | 2016-10-25 |
| 1891171062 | Stephen Atallah | Optometrist | 2575 Grand Canal Blvd, Stockton, CA 95207-8260 | 2015-08-10 |
| 1083021752 | Vikram Girn | Optometrist | 2571 Blossom Cir, Stockton, CA 95212-3010 | 2014-07-15 |
| 1063825156 | Timothy Ng | Optometrist | 1101 E March Ln # 0, Stockton, CA 95210-4500 | 2014-06-05 |
| 1144661497 | Cheryl Inong De La Torre | Optometrist | 136 W Fulton St, Stockton, CA 95204-3110 | 2013-07-16 |
| 1568808905 | Daniel & Max, LLC | Optometrist | 6539 Pacific Ave, Stockton, CA 95207-3717 | 2013-05-13 |
| 1497901284 | Jenee S Lee Od Inc | Optometrist | 4637 Pine Valley Cir, Stockton, CA 95219-1876 | 2008-08-12 |
| 1588841365 | Crystal I Chen | Optometrist | 36 W Yokuts Ave Ste 1, Stockton, CA 95207-5713 | 2008-01-24 |
| 1659553709 | Chukweumeka Chikwendu | Optometrist | 7743 West Ln, Suite A2, Stockton, CA 95210-3348 | 2007-11-30 |
| Find all providers in STOCKTON | ||||
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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.