Provider Demographics
NPI:1548668205
Name:BELMONTE AND ESPIRITU, A PROFESSIONAL OPTOMETRIC CORPORATION
Entity type:Organization
Organization Name:BELMONTE AND ESPIRITU, A PROFESSIONAL OPTOMETRIC CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:ESPIRITU
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:510-541-9353
Mailing Address - Street 1:3315 FOLSOM BLVD
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-5329
Mailing Address - Country:US
Mailing Address - Phone:916-246-8111
Mailing Address - Fax:888-965-3518
Practice Address - Street 1:3315 FOLSOM BLVD
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-5329
Practice Address - Country:US
Practice Address - Phone:916-246-8111
Practice Address - Fax:888-965-3518
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-11
Last Update Date:2015-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13074T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty