DR. RAUL ALEX MANCILLA (NPI# 1487706198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487706198 |
| Entity Type | Individual |
| Full Name | DR. RAUL ALEX MANCILLA |
| Credential | O.D. |
| Practice Address |
116 N Plaza St Brawley CA 92227-2426 |
| Mailing Address |
1811 Farmer Dr El Centro CA 92243 |
| Practice Telephone | 7603444331 |
| Practice Fax Number | 7603446956 |
| Mailing Telephone | 6193707315 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2019-05-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 12705TLG | CA | Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1420 Ocotillo Dr Ste D, El Centro, CA 922434251 | 7603531154 | 7603531153 |
| Street Address |
116 N PLAZA ST |
| City | BRAWLEY |
| State | CA |
| Zip Code | 92227-2426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013921907 | George K Ching Jr. | Ophthalmology | 116 N Plaza St, Valley Eye Care Medical Group Inc, Brawley, CA 92227-2426 | 2006-07-28 |
| 1558754762 | Triology Eye Medical Group, Inc. | Optometrist | 116 N Plaza St, Brawley, CA 92227-2426 | 2015-03-12 |
| 1902299084 | Retina Institute of California Medical Group | Optometrist | 116 N Plaza St, Brawley, CA 92227-2426 | 2015-03-12 |
| 1699815076 | Valley Eye Care Medical Group Inc | Ophthalmology | 116 N Plaza St, Brawley, CA 92227-2426 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548755283 | Imperial Valleyrespite, Inc. | Behavioral Analyst | 630 S. Imperial Ave., Ste. 2, Brawley, CA 92227 | 2018-06-26 |
| 1013424704 | Denise Vizcarra | Behavior Technician | 630 S Brawley Ave Ste 2, Brawley, CA 92227 | 2018-01-04 |
| 1831465178 | Marylou Cayetano Thelmo | Obstetrics & Gynecology | 1166 K Street, Brawley, CA 92227 | 2012-03-30 |
| 1396046983 | Dominga Marquez De Vera | Pharmacist | 475 West Main Street, Vons Pharmacy, Brawley, CA 92227 | 2010-11-12 |
| 1033441795 | Marshall Ray Debruler | Physician Assistant | 207 W. Legion Rd, Brawley, CA 92227 | 2010-02-05 |
| 1073758280 | Brawley Physical Therapy | Clinic/Center | 529 E Street, Brawley, CA 92227 | 2008-12-03 |
| 1609058924 | Leticia Bustamante | Nurse Practitioner | 751 West Legion Road, Suite 102, Brawley, CA 92227 | 2007-11-28 |
| 1073701504 | Imperial County Behavioral Health Services | Clinic/Center | 385 D St Rm 30, Brawley, CA 92227 | 2007-10-10 |
| 1013118801 | Joseph Kurt Bivens | Plastic Surgery | 751 W Legion Rd Ste 300, Brawley, CA 92227 | 2007-05-30 |
| 1083771489 | Yong Tan | Family Medicine | 751 West Legion Road, Suite 102, Brawley, CA 92227 | 2007-01-03 |
| Find all providers in zip 92227 | ||||
| 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 |
|---|---|---|---|---|
| 1558754762 | Triology Eye Medical Group, Inc. | Optometrist | 116 N Plaza St, Brawley, CA 92227-2426 | 2015-03-12 |
| 1902299084 | Retina Institute of California Medical Group | Optometrist | 116 N Plaza St, Brawley, CA 92227-2426 | 2015-03-12 |
| 1982760310 | Donald Lee Barniske | Optometrist | 260 Main St, Brawley, CA 92227-2351 | 2006-12-29 |
| 1255490058 | David Gayle | Optometrist | 537 Main St, Brawley, CA 92227-2423 | 2006-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183428 | Ashley Park | Optometrist | 386 S Green Valley Rd Ste 2, Watsonville, CA 95076-3007 | 2020-10-30 |
| 1053911842 | Michael Guerret | Optometrist | 4130 N Viking Way # 110, Long Beach, CA 90808-1402 | 2020-10-29 |
| 1912506155 | Minati Desai Acharya, O.d., Optometric Corporation | Optometrist | 117 Pelton Center Way, San Leandro, CA 94577-4815 | 2020-10-20 |
| 1740888627 | Jennifer Ngo | Optometrist | 3217 W 153rd St, Gardena, CA 90249-4011 | 2020-10-13 |
| 1649878521 | Jennie Lin | Optometrist | 12914 Cranleigh St, Cerritos, CA 90703-7245 | 2020-10-13 |
| 1962009464 | Jyoti Patel | Optometrist | 1701 Gaffey St., San Pedro, CA 90731 | 2020-10-07 |
| 1114524196 | Kenneth E. Sweeney, O.d., Inc. | Optometrist | 825 Pollard Rd Ste 208, Los Gatos, CA 95032-1435 | 2020-10-03 |
| 1316544364 | Chelsey Kimiko Honma | Optometrist | 3151 Airway Ave Ste M3, Costa Mesa, CA 92626-4626 | 2020-10-02 |
| 1437766920 | Mary Mekhael | Optometrist | 5901 Center Dr Apt 456, Los Angeles, CA 90045-8969 | 2020-09-28 |
| 1013524677 | Jennifer Dang, O.d., A Professional Corporation | Optometrist | 301 S Western Ave Ste 103, Los Angeles, CA 90020-3816 | 2020-09-28 |
| 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.