Provider Demographics
NPI:1114101003
Name:JAMES E CREECH
Entity Type:Organization
Organization Name:JAMES E CREECH
Other - Org Name:BEL VILLAGGIO EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ERWIN
Authorized Official - Last Name:CREECH
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:951-587-2333
Mailing Address - Street 1:41257 MARGARITA RD # 103
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92591-2850
Mailing Address - Country:US
Mailing Address - Phone:951-587-2333
Mailing Address - Fax:951-587-2335
Practice Address - Street 1:41257 MARGARITA ROAD B103
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92591-2850
Practice Address - Country:US
Practice Address - Phone:951-587-2333
Practice Address - Fax:951-587-2335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-27
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOPT7861152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty