Bill Valentine Optical

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

D7692 Issued in CA

Legal business name

BILL VALENTINE OPTICAL

Practice address

524 E Glenoaks Blvd Ste D
Glendale, CA 91207-2140

Phone

(818) 389-1760

NPI assigned

Mar 15, 2016

Organization subpart

No

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

Authorized official

Name

William Annunziato Valentine, PHD

Title

Owner

Phone

(818) 389-1760

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458000000000",
    "number": "1235590423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 E GLENOAKS BLVD STE D",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912072140",
            "telephone_number": "818-389-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 E GLENOAKS BLVD STE D",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912072140",
            "telephone_number": "818-389-1760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BILL VALENTINE OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-15",
        "last_updated": "2016-03-15",
        "status": "A",
        "authorized_official_last_name": "VALENTINE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ANNUNZIATO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-389-1760",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CA",
            "license": "D7692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Glendale, CA
• Providers in Glendale, CA by specialty
• Prosthetic/Orthotic Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; 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.