Ferrucci Optometric Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

License

12117TGL Issued in CA

Legal business name

FERRUCCI OPTOMETRIC CORPORATION

Doing business as

toluca Lake Optometric Center

Practice address

4100 W Alameda Ave
Burbank, CA 91505-4195

Phone

(818) 841-1212

Fax

(818) 841-6768

NPI assigned

Jan 13, 2016

Last updated

Jan 14, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vanessa Ferrucci, O.D.NPI 1851368419

Title

Optometrist

Phone

(818) 841-1212

Specialties & licenses 1

Addresses

Other names 1

• toluca Lake Optometric Center 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, and the practitioner matching its NPPES authorized official.

• Vanessa Ferrucci, O.D.

  • Optometrist
  • Burbank, CA
  • NPI 1851368419
  Medicare reassignment NPD Authorized official
• Robert E. Brill, O.D.

  • Optometrist
  • Burbank, CA
  • NPI 1427125939
  NPD (past)

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

{
    "created_epoch": "1452643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452729600000",
    "number": "1215393863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 W ALAMEDA AVE",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054195",
            "telephone_number": "818-841-1212",
            "fax_number": "818-841-6768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 W ALAMEDA AVE",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054195",
            "telephone_number": "818-841-1212",
            "fax_number": "818-841-6768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERRUCCI OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-13",
        "last_updated": "2016-01-14",
        "status": "A",
        "authorized_official_last_name": "FERRUCCI",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "818-841-1212",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12117TGL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "toluca Lake Optometric Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Valeria Fernandez
• Nathalie Fernando, RN
• Pilar Ferrer Cassiani
• Jasmine Mae Ferrer
• Hayley Ferrill-Broderick
• Vanessa Ferrucci, O.D.
• FGB, Inc.
• FHL Home Care, Inc.
• Fidelis Home Health Care
• Carole H. Field, M.F.T

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; 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.