MARC DEA (NPI# 1174592646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174592646 |
| Entity Type | Individual |
| Full Name | MARC DEA |
| Credential | OD |
| Practice Address |
2687 Castro Valley Blvd Castro Valley CA 94546-5409 |
| Practice Telephone | 5105811553 |
| Practice Fax Number | 5105811929 |
| Mailing Telephone | 5105811553 |
| Mailing Fax Number | 5105811929 |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2014-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 11124T | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0022890 | 05 | |
| CA | GSD000960 | 05 |
| Street Address |
2687 CASTRO VALLEY BLVD |
| City | CASTRO VALLEY |
| State | CA |
| Zip Code | 94546-5409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467503144 | Gary A Osias | Optometrist | 2687 Castro Valley Blvd, Castro Valley, CA 94546-5409 | 2007-01-16 |
| 1639230923 | Gary Allan Osias | Optometrist | 2687 Castro Valley Blvd, Castro Valley, CA 94546-5409 | 2006-12-12 |
| 1235197138 | Stella Levin | Optometrist | 2687 Castro Valley Blvd, Castro Valley, CA 94546-5409 | 2006-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861991234 | For Your Eyes Only Ophthalmic Medical Corp. | Optometrist | 2687 Castro Valley Blvd., Castro Valley, CA 94546 | 2018-02-12 |
| 1821536954 | Webster Surgery Center, Lp | Clinic/Center | 20998 Redwood Dr, Castro Valley, CA 94546 | 2017-02-09 |
| 1639506215 | Jennifer Lee | Pharmacist | 20629 Redwood Road, Castro Valley, CA 94546 | 2013-09-27 |
| 1679860506 | Lauren Nicole Hill | Counselor | 20212 Redwood Rd Ste 104, Castro Valley, CA 94546 | 2011-06-29 |
| 1326330952 | Jeannette Villalobos | Counselor | 5248 Crane Avenue, Castro Valley, CA 94546 | 2011-05-16 |
| 1780992560 | Cherie Christine-vivona Clark | Physician Assistant | Eden Emergency Department, 20103 Lake Chabot Road, Castro Valley, CA 94546 | 2010-09-15 |
| 1518287218 | Rite Aid Incorporation | Community/Behavioral Health | 3548 Castro Valley Blv, Castro Valley, CA 94546 | 2010-06-03 |
| 1770719940 | Kristina Marie Sotto | Occupational Therapist | 20259 Lake Chabot Road, Castro Valley, CA 94546 | 2009-06-02 |
| 1861664203 | Bannanje R Nayak | Physical Medicine & Rehabilitation | 19830 Lake Chabot Road, Ste C, Castro Valley, CA 94546 | 2008-03-26 |
| 1205030202 | Yvonne Marie Jones | Social Worker | 2055 Fairmont Dr., San Leandro, CA 94546 | 2007-06-13 |
| Find all providers in zip 94546 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982259628 | Samantha Annie Young | Optometrist | 20211 Patio Dr Ste 100, Castro Valley, CA 94546-4338 | 2019-08-08 |
| 1861991234 | For Your Eyes Only Ophthalmic Medical Corp. | Optometrist | 2687 Castro Valley Blvd., Castro Valley, CA 94546 | 2018-02-12 |
| 1093097149 | Sophia Hsiao | Optometrist | 6615 Bowie Way, Castro Valley, CA 94552-5038 | 2011-09-14 |
| 1497060875 | Yuanbing Liao | Optometrist | 3028 Castro Valley Blvd., Castro Valley, CA 94546-5510 | 2010-08-10 |
| 1619981792 | Christina Nalini Atkinson | Optometrist | 20211 Patio Dr., Suite 100, Castro Valley, CA 94546 | 2006-07-27 |
| 1114949419 | John Sic-yiu Liu | Optometrist | 3550 Castro Valley Blvd, Castro Valley, CA 94546-4402 | 2006-07-24 |
| 1871538512 | Sheri Ann Heath | Optometrist | 4041 E Castro Valley Blvd, Castro Valley, CA 94552-4840 | 2006-06-17 |
| 1770523763 | L. Stephanie Wu | Optometrist | 22179 Redwood Rd, Castro Valley, CA 94546-7107 | 2006-06-07 |
| 1922095082 | John Louis Nelson | Optometrist | 20211 Patio Dr, Suite 100, Castro Valley, CA 94546-4338 | 2005-10-04 |
| 1154934552 | Anna Luo | Optometrist | 4041 E Castro Valley Blvd, Castro Valley, CA 94552-4840 | 2020-08-25 |
| Find all providers in CASTRO VALLEY | ||||
| City | CASTRO VALLEY |
| Zip Code | 94546 |
Please comment or provide details below to improve the information on MARC DEA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.