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JOHN E BOKOSKY MD FACS NPI 1053578575


NPI Information

NPI: 1053578575
Provider Name: JOHN E BOKOSKY MD FACS

Doing Business As: EYECARE OF SAN DIEGO

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization

CLIA Number: 05D0978593

Address:
700 W EL NORTE PKWY
ESCONDIDO, CA
ZIP 92026
Phone: (760) 738-7800
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JOHN E BOKOSKY MD FACS is an eyewear supplier in Escondido, CA. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. JOHN E BOKOSKY MD FACS NPI is 1053578575. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Eyecare Of San Diego.

The provider's business location address is:

700 W EL NORTE PKWY
ESCONDIDO, CA
ZIP 92026-923
Phone: (760) 738-7800
Fax: (760) 738-7834

The provider's authorized official is John E Bokosky .
The authorized official title is Owner and has the following contact phone number (619) 296-8525.

The CLIA number assigned to this NPI record is 05D0978593 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/21/2008 and was last updated on 5/21/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometristNo
2332H00000XEyewear SupplierG51651CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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