Venittelli Kowalski Optometric Corp

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

VENITTELLI KOWALSKI OPTOMETRIC CORP

Practice address

39252 Winchester Rd Ste 127
Murrieta, CA 92563-3511

Phone

(951) 600-9226

Fax

(866) 268-5816

NPI assigned

Mar 28, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Irene Mills

Title

Biller

Phone

(951) 600-9226

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459123200000",
    "number": "1770945818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39252 WINCHESTER RD STE 127",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925633511",
            "telephone_number": "951-600-9226",
            "fax_number": "866-268-5816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39252 WINCHESTER RD STE 127",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925633511",
            "telephone_number": "951-600-9226",
            "fax_number": "866-268-5816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENITTELLI KOWALSKI OPTOMETRIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-28",
        "last_updated": "2016-03-28",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "951-600-9226",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.