Active NPI
John Fornarotto PLLC
- Ophthalmology Physician
- Pocatello, ID
National Provider Identifier
1790838662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- JOHN FORNAROTTO PLLC
- Practice address
- 246 N 18TH Ave
Pocatello, ID 83201-3356 - Phone
- (208) 234-4100
- Fax
- (208) 234-4192
- NPI assigned
- Jan 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John M Fornarotto, MD
- Title
- Owner
- Phone
- (208) 234-4100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
246 N 18TH Ave
Pocatello, ID 83201-3356
Mailing address
246 N 18TH Ave
Pocatello, ID 83201-3356
Phone (208) 234-4100
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- West Valley City, UT
- NPI 1366554461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1510790400000",
"number": "1790838662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "246 N 18TH AVE",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832013356",
"telephone_number": "208-234-4100",
"fax_number": "208-234-4192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "246 N 18TH AVE",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832013356",
"telephone_number": "208-234-4100",
"fax_number": "208-234-4192"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN FORNAROTTO PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-22",
"last_updated": "2017-11-16",
"status": "A",
"authorized_official_last_name": "FORNAROTTO",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "208-234-4100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pocatello, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.