Individual provider · NPI-1

Antonio Louis Alcorta I, BCO

Technician/Technologist, Ocularist · Visalia, CA

NPI number1023500485
StatusActive
Last updated in NPPESJan 29, 2019

Details

NPI
1023500485
Entity type
Individual (NPI-1)
Name
Mr. Antonio Louis Alcorta I
Credential
BCO
Sex
Male
Sole proprietor
No
Enumeration date
Jun 1, 2018
Last updated
Jan 29, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1700X Technician/Technologist, Ocularist––Yes

Practice location

1324 W Center Ave
Visalia, CA 93291

Phone 559-625-3937 · Fax 559-625-3942

Mailing address

1324 W Center Ave
Visalia, CA 93291-5804

Phone 559-625-3937

Other practice locations

1324 W Center Ave
Visalia, CA 93291

Phone 559-625-3937 · Fax 559-625-3942

11419 N Fowler Ave
Clovis, CA 93619-9544

Phone 559-940-1189

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