Patrick W Utnehmer a Proffesional Corporation

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

Legal business name

PATRICK W UTNEHMER A PROFFESIONAL CORPORATION

Practice address

41493 Margarita Rd Ste G109
Temecula, CA 92591-5570

Phone

(951) 541-7157

Fax

(951) 296-2211

NPI assigned

Sep 19, 2018

Organization subpart

No

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

Authorized official

Name

Patrick W UtnehmerNPI 1346348042

Title

Owner

Phone

(951) 541-3427

Specialties & licenses 1

Addresses

Other names 1

• Promenade optometry Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patrick William Utnehmer, OD

  • Optometrist
  • Temecula, CA
  • NPI 1346348042
  Medicare reassignment Authorized official
• Breeana Alexander, OD

  • Optometrist
  • Temecula, CA
  • NPI 1740946722
  NPD

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537315200000",
    "number": "1184108797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41493 MARGARITA RD STE G109",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925915570",
            "telephone_number": "951-541-7157",
            "fax_number": "951-296-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41493 MARGARITA RD STE G109",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925915570",
            "telephone_number": "951-541-7157",
            "fax_number": "951-296-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK W UTNEHMER A PROFFESIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-19",
        "last_updated": "2018-09-19",
        "status": "A",
        "authorized_official_last_name": "UTNEHMER",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-541-3427"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Promenade optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vidhi Patel
• Pathways T S LLC
• Janelle Patillo
• Miguel Patino
• Yana Patlis, FNP-C
• Patrick W Utnehmer, OD a Professional Corporation
• Patrick Y. Wei DDS a Dental Corporation
• Jazmine Patterson
• Jennifer Diane Patterson, MA, LMFT 154647
• Nikki Patton

• Corneal and Contact Management Optometrist in Temecula, CA
• Providers in Temecula, CA by specialty
• Corneal and Contact Management Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.