SEAN VILLACRUCIS (NPI# 1104471994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104471994 |
| Entity Type | Individual |
| Full Name | SEAN VILLACRUCIS |
| Credential | ABOC |
| Practice Address |
454 W Colorado St Glendale CA 91204-1504 |
| Practice Telephone | 8184586934 |
| Mailing Telephone | 8184586934 |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2019-08-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
41068 | CA | Eye and Vision Services Providers |
| Street Address |
454 W COLORADO ST |
| City | GLENDALE |
| State | CA |
| Zip Code | 91204-1504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871146670 | Hollyspectacles LLC | Technician/Technologist | 454 W Colorado St, Glendale, CA 91204-1504 | 2019-07-20 |
| 1619507514 | Alvin Tan Od, Inc. | Optometrist | 454 W Colorado St, Glendale, CA 91204-1504 | 2020-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558997387 | Hope & Trust Trading LLC | Radiology | 318 W Colorado St #2, Glendale, CA 91204 | 2020-03-12 |
| 1972133387 | Yusuf Toliver | Counselor | 1027 S Central Ave, Suite 200, Glendale, CA 91204 | 2020-01-24 |
| 1538633136 | Pathology La Inc. | Clinical Medical Laboratory | 4634 San Fernando Rd., Same As Above, Glendale, CA 91204 | 2019-01-16 |
| 1295254050 | Glendale Back and Pain Center | Neurological Surgery | 710 S. Central Ave, Suite 240, Glendale, CA 91204 | 2017-09-13 |
| 1285163568 | Ez Trans, Inc. | Transportation Broker | 1626 S. Central Ave., Glendale, CA 91204 | 2017-06-08 |
| 1194254474 | Jenny Chung | Pharmacist | 3943 San Fernando Road, Glendale, CA 91204 | 2017-06-08 |
| 1396111886 | Fresenius Medical Care Glendale, LLC | Clinic/Center | 623 S Central Ave, Glendale, CA 91204 | 2015-08-19 |
| 1710302450 | New Age Foot and Ankle Podiatry PC | Podiatrist | 705 Ivy Street, Glendale, CA 91204 | 2014-03-04 |
| 1124454376 | Alber K. Karamanoukian Medical Clinic, Inc. | Clinic/Center | 810 S. Central Avenue, Suite 100, Glendale, CA 91204 | 2013-09-19 |
| 1548521156 | Glendale Plastic and Reconstructive Surgery Inc. | Plastic Surgery | 1500 S. Central Ave. #126, Glendale, CA 91204 | 2012-05-31 |
| Find all providers in zip 91204 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871146670 | Hollyspectacles LLC | Technician/Technologist | 454 W Colorado St, Glendale, CA 91204-1504 | 2019-07-20 |
| 1326519125 | National Vision Inc | Technician/Technologist | 7470 W Bell Rd Ste 206, Glendale, AZ 85308-8532 | 2018-12-06 |
| 1932677713 | National Vision Inc | Technician/Technologist | 9340 W Northern Ave Ste 120, Glendale, AZ 85305-1148 | 2018-11-09 |
| 1932606738 | National Vision, Inc. | Technician/Technologist | 8016 Cooper Ave Ste 3111, Glendale, NY 11385-7730 | 2018-04-09 |
| 1891214565 | National Vision, Inc. | Technician/Technologist | 320 N Glendale Ave, Glendale, CA 91206-3758 | 2017-09-14 |
| 1114453388 | Designer Optical Center | Technician/Technologist | 8028 Cooper Ave. Suite #6-106, Glendale, NY 11378 | 2017-05-10 |
| 1770837577 | Nationwide Vision Center, LLC | Technician/Technologist | 5707 W Northern Ave, Suite 106, Glendale, AZ 85301-1300 | 2012-10-31 |
| 1841587342 | Maria Mclaren | Technician/Technologist | 20249 N 67th Ave, B, Glendale, AZ 85308-6843 | 2011-07-05 |
| 1417280496 | Bell Optical | Technician/Technologist | 4236 W Bell Rd, Suite #5, Glendale, AZ 85308-4029 | 2009-09-09 |
| 1770737868 | Frank J Leone | Technician/Technologist | 18330 N 79th Ave, 1062, Glendale, AZ 85308-8343 | 2008-11-16 |
| Find all providers in GLENDALE | ||||
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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.