Active NPI
Edmond Betmaleck, O.D.
- Optometrist
- Valencia, CA
National Provider Identifier
1700934460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 10286
- Practice address
- 24305 Town Center Dr
Suite 160
Valencia, CA 91355-1307 - Phone
- (661) 799-7464
- Fax
- (661) 799-7583
- NPI assigned
- Jan 8, 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 | 10286 | CA | Primary |
Addresses
Primary practice location
24305 Town Center Dr
Suite 160
Valencia, CA 91355-1307
Mailing address
24305 Town Center Dr
Suite 160
Valencia, CA 91355-1307
Phone (661) 799-7464
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10286 | CA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700934460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24305 TOWN CENTER DR",
"address_2": "SUITE 160",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913551307",
"telephone_number": "661-799-7464",
"fax_number": "661-799-7583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24305 TOWN CENTER DR",
"address_2": "SUITE 160",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913551307",
"telephone_number": "661-799-7464",
"fax_number": "661-799-7583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETMALECK",
"first_name": "EDMOND",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "10286",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valencia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.