Individual provider Active NPI

Antonio Louis Alcorta I, BCO

  • Ocularist
  • Visalia, CA
National Provider Identifier
1023500485
Registry record updated Jan 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OcularistTaxonomy code 156FX1700X
Practice address
1324 W Center Ave
Visalia, CA 93291
Phone
(559) 625-3937
Fax
(559) 625-3942
NPI assigned
Jun 1, 2018
Last updated
Jan 29, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ocularist 156FX1700X Primary

Addresses

Primary practice location

1324 W Center Ave
Visalia, CA 93291

Mailing address

1324 W Center Ave
Visalia, CA 93291-5804
Phone (559) 625-3937

Other practice location 1

11419 N Fowler Ave
Clovis, CA 93619-9544
Phone (559) 940-1189

Other practice location 2

1324 W Center Ave
Visalia, CA 93291
Phone (559) 625-3937 ext. 5804

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Ocular Prosthetics, LLC Ocularist PastSince Oct 23, 2022 Accepting new patients
Integrated Ocular Prosthetics Ocularist Past Accepting new patients
Atlanta Eye Prosthetics Incorporated Ocularist PastSince Jun 11, 2023 Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1023500485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 W CENTER AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915804",
            "telephone_number": "559-625-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 W CENTER AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "93291",
            "telephone_number": "559-625-3937",
            "fax_number": "559-625-3942"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11419 N Fowler Ave",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "936199544",
            "country_code": "US",
            "telephone_number": "559-940-1189",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1324 W Center Ave",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "93291",
            "country_code": "US",
            "telephone_number": "559-625-3937 x5804",
            "fax_number": "559-625-3942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALCORTA",
        "first_name": "ANTONIO",
        "middle_name": "LOUIS",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "credential": "BCO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-01",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1700X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Ocularist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; 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.