Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 13685 | CA |
N | 152W00000X | Optometrist | 2557 | OK |
N | 152W00000X | Optometrist | 698 | NM |
N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 13685 | CA |
N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 2557 | OK |
NPI | 1134399546 |
---|---|
Provider Name | Dr. James Paul Esposito |
First Address | Fresno, CA 93703-2223 |
Second Address | Fresno, CA 93703-2223 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/03/2008 |
Last Update Date | 15/08/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
13685 | CALIFORNIA OPTOMETRIC LICENSE NUMBER (01) | CA |
2557 | OKLAHOMA OPTOMETRIC LICENSE NUMBER (01) | OK |
698 | NM OPTOMETRY LICENSE (01) | NM |
ME1824829 | DEA NUMBER (01) | CA |