Provider Demographics
NPI:1134399546
Name:ESPOSITO, JAMES PAUL (OD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:PAUL
Last Name:ESPOSITO
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2615 E CLINTON AVE
Mailing Address - Street 2:SURGICAL SERVICES 570 / 112
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93703-2223
Mailing Address - Country:US
Mailing Address - Phone:559-225-6100
Mailing Address - Fax:559-228-5309
Practice Address - Street 1:2615 E CLINTON AVE
Practice Address - Street 2:SURGICAL SERVICES 570 / 112
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93703-2223
Practice Address - Country:US
Practice Address - Phone:559-225-6100
Practice Address - Fax:559-228-5309
Is Sole Proprietor?:No
Enumeration Date:2008-03-03
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2557152W00000X, 152WC0802X
NM698152W00000X
CA13685152WC0802X, 152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK2557OtherOKLAHOMA OPTOMETRIC LICENSE NUMBER
NM698OtherNM OPTOMETRY LICENSE
CA13685OtherCALIFORNIA OPTOMETRIC LICENSE NUMBER
CA13685OtherCALIFORNIA OPTOMETRIC LICENSE NUMBER