Dean E Fewtrell OD a Professional Optometric Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT7793T Issued in CA

Legal business name

DEAN E FEWTRELL OD A PROFESSIONAL OPTOMETRIC CORPORATION

Practice address

311 Pajaro St
Salinas, CA 93901-3421

Phone

(831) 424-6201

Fax

(831) 757-4509

NPI assigned

Feb 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Dean E Fewtrell, OD

Title

President of Corporation

Phone

(831) 424-6201

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Jess Estrada, O.D.

  • Optometrist
  • Salinas, CA
  • NPI 1174619985
  NPD (past)
• Salvaldor O Vallarta, O.D.

  • Optometrist
  • Salinas, CA
  • NPI 1083700884
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527120000000",
    "number": "1841325834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 PAJARO STREET",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013421",
            "telephone_number": "831-424-6201",
            "fax_number": "831-757-4509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 PAJARO ST",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013421",
            "telephone_number": "831-424-6201",
            "fax_number": "831-757-4509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEAN E FEWTRELL OD A PROFESSIONAL OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2018-05-24",
        "status": "A",
        "authorized_official_last_name": "FEWTRELL",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "831-424-6201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT7793T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841325834",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaimee Stoll De Pompeo
• Eliana Ruiz De Santos, M.A. CCC-SLP
• Karen Marie De Sola-Smith, NP, RN
• Jennifer Dea
• Gail Deakin
• Abram Deanda
• Marguerite S Deangelo, P.A.
• Theresa Debarros, M.D.
• Rafaella Debernardi, P.A.
• Maria G Deberry

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; 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.