BRIDGE & TEMPLE INC (NPI# 1376055012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376055012 |
| Entity Type | Organization |
| Organization Name | BRIDGE & TEMPLE INC |
| Practice Address |
828 E Main Street Ventura CA 93001 |
| Practice Telephone | 8056435687 |
| Practice Fax Number | 8056434175 |
| Mailing Telephone | 8056435687 |
| Mailing Fax Number | 8056434175 |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2017-11-20 |
| Authorized Official Name | DR. CLAIRE M AZZAM (DR) |
| Authorized Official Telephone | 3108505953 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 33453 | CA | Eye and Vision Services Providers |
| Street Address |
828 E MAIN STREET |
| City | VENTURA |
| State | CA |
| Zip Code | 93001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952929739 | Christine Yana Barna | Counselor | 641 E Thompson Blvd, Ventura, CA 93001 | 2020-07-08 |
| 1477024222 | 4 Kids 2 Kids | Psychiatric Residential Treatment Facility | 9223 Nye Road, Ventura, CA 93001 | 2018-12-05 |
| 1578046884 | Michelle Aquino | Counselor | 2222 Channel Dr, Ventura, CA 93001 | 2018-09-12 |
| 1700379096 | Terrence Swanson | Counselor | 125 W Harrison Ave Apt A, Ventura, CA 93001 | 2018-06-11 |
| 1578073763 | Karin Huang | Counselor | 2001, 28th St, Bakerfield, CA 93001 | 2017-10-03 |
| 1487170346 | Stephanie Martello | Counselor | 864 East Santa Clara Street, Ventura, CA 93001 | 2017-08-22 |
| 1477080885 | Isabel Ojeda-cobaruvias | Specialist/Technologist | 1234 E. Main Street, Ventura, CA 93001 | 2017-05-16 |
| 1902219413 | Julio Perez | Specialist/Technologist | 1234 Main St., Ventura, CA 93001 | 2014-06-03 |
| 1417380478 | Lacey Piper | Dietitian, Registered | 2841 Harbor Blvd., Ventura, CA 93001 | 2013-08-14 |
| 1225380512 | Elisa Bernal | Marriage & Family Therapist | 864 E Santa Clara Street, Ventura, CA 93001 | 2012-10-10 |
| Find all providers in zip 93001 | ||||
| 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 |
|---|---|---|---|---|
| 1972151652 | Colin Simmons Funnell | Optometrist | 1445 Donlon St Ste 12, Ventura, CA 93003-8390 | 2019-08-27 |
| 1659810182 | Victoria Yanchukov | Optometrist | 4360 E Main St Ste D, Ventura, CA 93003-8279 | 2017-02-16 |
| 1871960021 | Shirley Chio | Optometrist | 1280 S Victoria Ave #100, Ventura, CA 93003 | 2015-08-24 |
| 1639515166 | R F Ccollins & S Goodman Ptrs | Optometrist | 5722 Telephone Rd, Suite 19, Ventura, CA 93003-5318 | 2013-05-10 |
| 1669767042 | Christian Wilson | Optometrist | 4051 E Main St Ste A, Ventura, CA 93003-8280 | 2011-06-14 |
| 1437452950 | Kristopher Robert Skromme | Optometrist | 801 S Victoria Ave Ste 206, Ventura, CA 93003-0401 | 2010-12-07 |
| 1255642633 | Miguel Delgado | Optometrist | 24 S California St, Ventura, CA 93001-2802 | 2010-06-30 |
| 1194973065 | Claire Michele Azzam | Optometrist | 828 E Main St., Ventura, CA 93001 | 2008-09-04 |
| 1881841575 | Ranjeet Singh Bajwa | Optometrist | 1889 Knoll Dr, Ventura, CA 93003-7348 | 2008-08-25 |
| 1649300310 | Brent Kenji Mitsuuchi | Optometrist | 1280 S Victoria Ave Ste 100, Ventura, CA 93003-6550 | 2007-03-06 |
| Find all providers in VENTURA | ||||
Please comment or provide details below to improve the information on BRIDGE & TEMPLE INC.
| 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.