DR. MARK AUGUSTO VENTOCILLA (NPI# 1528158664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528158664 |
| Entity Type | Individual |
| Full Name | DR. MARK AUGUSTO VENTOCILLA |
| Credential | OD |
| Practice Address |
613 E Grand Ave Escondido CA 92025-4402 |
| Practice Telephone | 7607474797 |
| Practice Fax Number | 7607477799 |
| Mailing Telephone | 7607477979 |
| Mailing Fax Number | 7607477799 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2012-03-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 10435 | CA | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | OPC 3532 | FL | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 4901003734 | MI | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS LAKESHORE EYECARE | 900F165350 | 01 |
| MI | 4454950 | 05 | |
| MI | 4820570 | 05 | |
| MI | BCBS ELDER EYECARE GROUP | 90G011590 | 01 |
| 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 |
| 1295027613 | Mark Ventocilla, O.d., Inc | Optometrist | 613 E Grand Ave, Escondido, CA 92025-4402 | 2011-05-03 |
| 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 |
| 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 | 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 |
|---|---|---|---|---|
| 1730716051 | Beyond Optometry, Inc | Optometrist | 3440 Del Lago Blvd Ste E, Escondido, CA 92029-7430 | 2020-03-25 |
| 1760044085 | Samira Jalilpour Alizadeh | Optometrist | 1301 Dos Hermanos Gln, Escondido, CA 92027-1271 | 2019-07-08 |
| 1225694334 | Sara Isely | Optometrist | 1013 Fern St, Escondido, CA 92027-1514 | 2019-05-14 |
| 1457834665 | Daniel & Max | Optometrist | 730 N Center City Parkway, Building A-1, Suite 101, Escondido, CA 92025 | 2018-09-13 |
| 1144767211 | Nancy El-moghrabi | Optometrist | 290 E Via Rancho Pkwy, Escondido, CA 92025-8005 | 2017-01-26 |
| 1679836928 | Melissa Marie Willey | Optometrist | 830 W Valley Pkwy Ste 300, Escondido, CA 92025-2529 | 2012-06-21 |
| 1588942411 | Ashlee Rich | Optometrist | 1284 Auto Park Way Ste C, Escondido, CA 92029-2222 | 2011-07-26 |
| 1578892352 | Debra L. Mcintyre, O.d., A Professional Optometric Corporation | Optometrist | 306 W El Norte Pkwy Ste L, Escondido, CA 92026-1960 | 2009-12-08 |
| 1205084787 | Anika Ramolia | Optometrist | 830 W Valley Pkwy, Escondido, CA 92025-2529 | 2008-09-08 |
| 1023145646 | Basanti Shaw | Optometrist | 1835 S Centre City Parkway, Suite #e, Escondido, CA 92025-6544 | 2007-02-28 |
| Find all providers in ESCONDIDO | ||||
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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.