James Patrick Furcolow, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5392 Issued in CA

Practice address

17829 Santiago Blvd
Villa Park, CA 92861

Phone

(714) 998-6610

Fax

(714) 998-3275

NPI assigned

Aug 23, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1871600395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17829 SANTIAGO BLVD",
            "city": "VILLA PARK",
            "state": "CA",
            "postal_code": "928614133",
            "telephone_number": "714-998-6610",
            "fax_number": "714-998-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17829 SANTIAGO BLVD",
            "city": "VILLA PARK",
            "state": "CA",
            "postal_code": "92861",
            "telephone_number": "714-998-6610",
            "fax_number": "714-998-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FURCOLOW",
        "first_name": "JAMES",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "5392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Downs, OD
• Harry Eisenbach
• Jennifer Emter
• Kenneth John Fischer, DDS
• Kristen Michele Fuller, M.D.
• Kathleen Emilie Gallaher, M.D.
• Kathryn A. Gibbs, M.D.
• Golden Hands Orthopedic Group, Inc
• Richard Lyle Goldman, MD
• David Grasso

• Optometrist in Villa Park, CA
• Providers in Villa Park, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.