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Active NPI 1528158664 Individual Practitioner Male Practitioner

Dr. Mark Augusto Ventocilla , OD

Optometrist • Escondido, CA

Professional Overview & Biography Verified Profile Summary

Dr. Mark Ventocilla, OD is a registered healthcare professional specializing in Optometrist in Escondido, CA. Practice services are available at 613 E GRAND AVE under active NPI credentials.

Frequently performed procedures and clinical services include photography of the retina, new patient complete exam of visual system, established patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

613 E Grand Ave

Escondido, CA 920254402

Telephone 7607474797
Fax 7607477799
Associated Practice Facility / Clinic
🏢 Daniel R Delgado, Od, Pc Facility NPI 1073624300

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Escondido, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.3 Yrs
State Avg: 21.9 Yrs
Regional Practice Density
30 Specialists

Practicing in Escondido, CA (8588 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
38.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92250 Photography of the retina
24 24 $150.00 $37.53
92004 New patient complete exam of visual system
21 21 $140.00 $140.00

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License CA 10435

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License MI 4901003734

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License FL OPC 3532

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
4454950 (MI)
Medicaid State Provider ID
4820570 (MI)
Commercial Insurance / Payer ID Bcbs Lakeshore Eyecare
900F165350 (MI)
Commercial Insurance / Payer ID Bcbs Elder Eyecare Group
90G011590 (MI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1194891853

Doctor of Optometry

NPI 1235483934

Doctor of Optometry

NPI 1770588485

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 12, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location March 12, 2012

Registered at 613 E GRAND AVE, ESCONDIDO, CA 920254402 (Tel: 7607474797)

📍
Updated Business Mailing Address March 12, 2012

Registered at 613 E GRAND AVE, ESCONDIDO, CA 920254402 (Tel: 7607477979)

👤
Provider Name / Credentials Updated March 12, 2012

Recorded as MARK VENTOCILLA, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 12, 2012

Optometrist (License #10435 in CA)

🟢
Initial NPI Registration & Enumeration October 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528158664
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 12, 2006
Last Update: March 12, 2012
Sole Proprietor: Yes

Mailing Address

613 E Grand Ave

Escondido, CA 920254402

Phone: 7607477979

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.