Active NPI
Sheldon Pitluk, O.D.
- Optometrist
- Cerritos, CA
National Provider Identifier
1043350192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 6320T
- Practice address
- 11243 183Rd St
Cerritos, CA 90703-5417 - Phone
- (562) 924-0950
- Fax
- (562) 809-8566
- NPI assigned
- Feb 7, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 6320T | CA | Primary |
Addresses
Primary practice location
11243 183Rd St
Cerritos, CA 90703-5417
Mailing address
11243 183Rd St
Cerritos, CA 90703-5417
Phone (562) 924-0950
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6320T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Sheldon B Pitluk, Optometrist, PC | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Optometrist
- Cerritos, CA
- NPI 1780038745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334102400000",
"number": "1043350192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11243 183RD ST",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907035417",
"telephone_number": "562-924-0950",
"fax_number": "562-809-8566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11243 183RD ST",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907035417",
"telephone_number": "562-924-0950",
"fax_number": "562-809-8566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITLUK",
"first_name": "SHELDON",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2012-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "6320T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cerritos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.