Jintau Ernest Two, OP

Primary specialty

OptometristTaxonomy code 152W00000X

License

B606T Issued in CA

Practice address

15888 Main St
#112A
Hesperia, CA 92345-3452

Phone

(760) 949-2242

Fax

(760) 949-3131

NPI assigned

Nov 8, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Two Optometry,Inc.

  • Optometrist
  • Hesperia, CA
  • NPI 1548660673
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003897075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15888 MAIN ST",
            "address_2": "#112A",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923453452",
            "telephone_number": "760-949-2242",
            "fax_number": "760-949-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15888 MAIN ST",
            "address_2": "#112A",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923453452",
            "telephone_number": "760-949-2242",
            "fax_number": "760-949-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TWO",
        "first_name": "JINTAU",
        "middle_name": "ERNEST",
        "credential": "OP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "B606T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0086061",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adonay Turcios
• Aris Abigail Turcios
• Jacqueline Turner
• Monique Turner
• Two Optometry,Inc.
• Elmer David Tyree Jr.
• Nnamaka Shaun Ugezene, MSNPM
• Unearthed Birth LLC
• Unicare Community Health Center, Inc.
• Unicare Community Health Center, Inc.

• Optometrist in Hesperia, CA
• Providers in Hesperia, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.