Wesval Enterprises Inc

Primary specialty

OpticianTaxonomy code 156FX1800X

License

D2087 Issued in CA

Legal business name

WESVAL ENTERPRISES INC

Doing business as

Antioch Opticians

Practice address

3714 Lone Tree Way
Antioch, CA 94509

Phone

(925) 757-6677

Fax

(925) 757-1761

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Greg A. Vallejo, RDO

Title

President/Owner

Phone

(924) 757-6677

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Antioch Opticians Doing business as

Locations

Practitioners 1

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.

• Gregory Vallejo, RDO

  • Optician
  • Antioch, CA
  • NPI 1376183012
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223251200000",
    "number": "1568557130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3714 LONE TREE WAY",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "94509",
            "telephone_number": "925-757-6677",
            "fax_number": "925-757-1761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3714 LONE TREE WAY",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "94509",
            "telephone_number": "925-757-6677",
            "fax_number": "925-757-1761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESVAL ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-10-06",
        "status": "A",
        "authorized_official_last_name": "VALLEJO",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "924-757-6677",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RDO"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "CA",
            "license": "D2087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ74552Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Antioch Opticians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lowanda West-Brown
• Kathleen Anita West, PHYSICAL THERAPIST
• Western Dental Services, Inc.
• Western Dental Services, Inc.
• Western Dental Services, Inc.
• Kelly M Wetzel
• Amelia White
• Clarence White
• Cynthia C White, M.ED.
• Erin Marie White

• Optician in Antioch, CA
• Providers in Antioch, CA by specialty
• Optician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2008; 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.