Healthcare Provider Details
I. General information
NPI: 1235062654
Provider Name (Legal Business Name): OJITOS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4900 PANAMA LN
BAKERSFIELD CA
93313-3479
US
IV. Provider business mailing address
4900 PANAMA LN
BAKERSFIELD CA
93313-3479
US
V. Phone/Fax
- Phone: 661-213-0252
- Fax: 661-228-3995
- Phone: 661-213-0252
- Fax: 661-228-3995
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
LEONARDO
VELAZQUEZ
Title or Position: OPTOMETRIST/OWNER
Credential: O.D
Phone: 661-213-0252