Stephanie Marie Marten-ellis (NPI# 1477083178, PAC ID# 2769751569) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1477083178 |
| PAC ID by PECOS | 2769751569 |
| Professional Enrollment ID | I20181003002501 |
| Full Name | Stephanie Marie Marten-ellis |
| Organization Legal Name | ENCINO OPTOMETRIC CENTER, CORP. |
| Address |
16255 Ventura Blvd Suite 705 Encino CA 91436-2311 |
| Phone Number | 8189868860 |
| Gender | F |
| Medical School | UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY |
| Graduation Year | 2017 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 4082773668 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 16255 Ventura Blvd, Suite 705, Encino, CA 91436-2311 | 8189868860 | ENCINO OPTOMETRIC CENTER, CORP. |
| Organization Legal Name | ENCINO OPTOMETRIC CENTER, CORP. |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Linh M Quach | Optometry | Encino Optometric Center, Corp. | 16255 Ventura Blvd, Encino, CA 91436-2311 |
| Francisca E Escobar | Optometry | Encino Optometric Center, Corp. | 16255 Ventura Blvd, Encino, CA 91436-2311 |
| Street Address |
16255 VENTURA BLVD SUITE 705 |
| City | ENCINO |
| State | CA |
| Zip | 91436-2311 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aung-zaw Phoo | Optometry | 16255 Ventura Blvd, Suite 705, Encino, CA 91436-2311 | |
| Stephen J Friedman | Dermatology | 16255 Ventura Blvd, Suite 120, Encino, CA 91436-2300 | |
| Scott G Cherkasky | Psychiatry | 16255 Ventura Blvd, Suite 806, Encino, CA 91436-2317 | |
| Barry M Kolom | Optometry | 16255 Ventura Blvd, Suite 705, Encino, CA 91436-2311 | |
| Linh M Quach | Optometry | Encino Optometric Center, Corp. | 16255 Ventura Blvd, Encino, CA 91436-2311 |
| Mohammad A Gharavi | Cardiac Surgery | 16255 Ventura Blvd, Suite 910, Encino, CA 91436-2317 | |
| Francisca E Escobar | Optometry | Encino Optometric Center, Corp. | 16255 Ventura Blvd, Encino, CA 91436-2311 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher N Hage | Internal Medicine | 5016 Rubio Ave, Encino, CA 91436-1123 | |
| Ronald I Koslowski | Oral Surgery | 16311 Ventura Blvd, Suite 985, Encino, CA 91436-1224 | |
| Clifford R Kahn | Orthopedic Surgery | 16633 Ventura Blvd, Suite 802, Encino, CA 91436-1824 | |
| Payam Vahedifar | Physical Medicine and Rehabilitation | 16633 Ventura Blvd, Suite 802, Encino, CA 91436-1824 | |
| George H Sanders | Plastic and Reconstructive Surgery | 16633 Ventura Blvd, Suite 110, Encino, CA 91436-1834 | |
| Stephen D Bresnick | Plastic and Reconstructive Surgery | 16633 Ventura Blvd, Suite 110, Encino, CA 91436-1834 | |
| Alireza Torchizy | Dermatology | 16661 Ventura Blvd, Suite 105, Encino, CA 91436-1901 | |
| William Lenaburg | Family Medicine | Family Urgent Care and Industrial Medical Clinic, Inc. | 16661 Ventura Blvd, Suite 108, Encino, CA 91436-1902 |
| Rashin Dangelo | Psychologist, Clinical | 16661 Ventura Blvd, Encino, CA 91436-1914 | |
| Mehrnoosh Rezapour | Psychologist, Clinical | 16661 Ventura Blvd, Suite 400f, Encino, CA 91436-1914 | |
| Find all physicians in zip 91436 | |||
| City | ENCINO |
| Zip Code | 91436 |
| Specialty | OPTOMETRY |
| City + Specialty | ENCINO + OPTOMETRY |
Please comment or provide details below to improve the information on Stephanie Marie Marten-ellis.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.