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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MARK AUGUSTO VENTOCILLA, OD

Active Sole Proprietor

DR. MARK AUGUSTO VENTOCILLA, OD is a Optometrist healthcare provider located in ESCONDIDO, California. NPI 1528158664 is currently active in the NPPES registry. Verify at CMS.

Optometrist · ESCONDIDO, CA

Registration Details

NPI Number
1528158664
Provider Type
Individual
Gender
Male
NPI Issued
Oct 12, 2006 (19.657229756959 yrs)
Last Updated
Mar 12, 2012
Licenses
4901003734 (MI)
OPC 3532 (FL)
10435 (CA)
Sole Proprietor
Yes

Practice Information

Address
613 E GRAND AVE
ESCONDIDO, CA, 920254402
Browse CA providers · Browse ZIP 92025
Phone
7607474797
Fax
7607477799
Primary Specialty
Optometrist
152W00000X
Additional Specialty
Optometrist
Additional Specialty
Optometrist

Other Optometrist Providers in ESCONDIDO, CA

Name Credential NPI
GARRICK T SIT O.D. 1710982806
DR. JOHN CLAYTON UREY O. D. 1770588485
DR. MICHAEL JAMES HAUG O.D. 1316915341
GINA M GRASSO OD 1700899952
DR. BRUCE G. FRIMTZIS O.D. 1710087366
DR. PUNEH BAHA O.D. 1134212160
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.