Edmond Betmaleck, OD , an Optometric Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

License

10286T Issued in CA

Legal business name

EDMOND BETMALECK, OD , AN OPTOMETRIC CORPORATION

Practice address

24305 Town Center Dr
Suite 160
Valencia, CA 91355-1307

Phone

(661) 799-7464

Fax

(661) 799-7583

NPI assigned

Apr 20, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Edmond Betmaleck, O.D.

Title

Owner

Phone

(661) 799-7464

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240185600000",
    "number": "1891939922",
    "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": {
        "organization_name": "EDMOND BETMALECK, OD , AN OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-20",
        "last_updated": "2009-04-20",
        "status": "A",
        "authorized_official_last_name": "BETMALECK",
        "authorized_official_first_name": "EDMOND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-799-7464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10286T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; 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.