MARYANNE MARCOLIVIO (NPI# 1174685564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174685564 |
| Entity Type | Individual |
| Full Name | MARYANNE MARCOLIVIO |
| Credential | O.D. |
| Practice Address |
270 Laguna Rd Suite 100 Fullerton CA 92835-2521 |
| Practice Telephone | 7145252375 |
| Practice Fax Number | 7148719280 |
| Mailing Telephone | 7145252375 |
| Mailing Fax Number | 7148719280 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPT 9576 TPA | CA | Eye and Vision Services Providers |
| Street Address |
270 LAGUNA RD SUITE 100 |
| City | FULLERTON |
| State | CA |
| Zip Code | 92835-2521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306842687 | Clifford M Terry | Ophthalmology | 270 Laguna Rd, Suite 100, Fullerton, CA 92835-2521 | 2005-06-22 |
| 1558788208 | Carl A Hess Md A Medical Corporation | Anesthesiology | 270 Laguna Rd, Suite 220, Fullerton, CA 92835-2521 | 2014-03-19 |
| 1912112996 | Charles F Bittel IIi | Optometrist | 270 Laguna Rd, Suite 100, Fullerton, CA 92835-2521 | 2007-05-11 |
| 1154440204 | Clifford M Terry M D Inc | Ophthalmology | 270 Laguna Rd, Suite 100, Fullerton, CA 92835-2521 | 2007-03-28 |
| 1154471118 | Carl Hess | Anesthesiology | 270 Laguna Rd, Ste 220, Fullerton, CA 92835-2521 | 2007-01-11 |
| 1932261336 | William Henry Peloquin | Ophthalmology | 270 Laguna Rd, Suite 100, Fullerton, CA 92835-2521 | 2006-12-14 |
| 1689751968 | Patricia Ann Ryan | Dentist | 270 Laguna Rd, Suite 200, Fullerton, CA 92835-2521 | 2006-11-01 |
| 1023022050 | Mercer Lewis Mcclure | Ophthalmology | 270 Laguna Rd, #100, Fullerton, CA 92835-2521 | 2006-07-27 |
| 1770514465 | Matthew H Kim | Ophthalmology | 270 Laguna Rd, Suite 100, Fullerton, CA 92835-2521 | 2006-07-05 |
| 1043280605 | Daniel Alan Potter | Obstetrics & Gynecology | 270 Laguna Rd, Suite 220, Fullerton, CA 92835-2516 | 2006-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538774302 | Natalie Baugh | Nutritionist | 333 W Bastanchury Rd 110, Fullerton, CA 92835 | 2020-09-09 |
| 1073127098 | Cecile Mae Sam | Physical Therapist | 2932 Clover Ct, Fullerton, CA 92835 | 2020-09-08 |
| 1861966087 | Kimson F Johnston | Marriage & Family Therapist | 1370 Brea Blvd Suite 210, Fullerton, CA 92835 | 2019-01-22 |
| 1134636327 | Michelle Harriman, Psychologist - A Professional Corporation | Psychologist | 1440 N Harbor Blvd Ste 808, Fullerton, CA 92835 | 2018-01-09 |
| 1659818631 | Jacqueline Rene Miller | Specialist/Technologist | 2610 Associated Rd, Apt A4, Fullerton, CA 92835 | 2017-01-27 |
| 1912361106 | John Nathaniel Alvarez | Psychiatry & Neurology | 401 E Imperial Highway, Fullerton, CA 92835 | 2016-04-13 |
| 1083075030 | Advance Recovery Solution, LLC | Substance Abuse Rehabilitation Facility | 3744 N Hermosa Pl, Fullerton, CA 92835 | 2016-03-17 |
| 1467817981 | Michele Ledesma | Physical Therapy Assistant | 2800 N. Harbor Blvd., Fullerton, CA 92835 | 2015-12-29 |
| 1467820571 | Jonghan Kang | Acupuncturist | 1321 N Harbor Blvd Ste 205, Fullerton, CA 92835 | 2015-09-04 |
| 1265840987 | Allison Leigh Kennedy | Physician Assistant | 100 Laguna Rd Ste 208, Fullerton, CA 92835 | 2014-07-25 |
| Find all providers in zip 92835 | ||||
| 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 |
|---|---|---|---|---|
| 1336655596 | Jaquelyn Rojas | Optometrist | 400 N Acacia Ave Unit C22, Fullerton, CA 92831-4076 | 2017-12-22 |
| 1962824391 | Maggie Jan | Optometrist | 2443 E Chapman Ave, Fullerton, CA 92831-3603 | 2014-01-21 |
| 1093156150 | Karen H. Lin | Optometrist | 2934 Wisteria Ln, Fullerton, CA 92833-4958 | 2013-07-17 |
| 1962784314 | Maria A Choi | Optometrist | 2134 Baywood Dr, Fullerton, CA 92833-1255 | 2011-09-12 |
| 1386892735 | Pochi Huang | Optometrist | 1520 Baronet Pl, Fullerton, CA 92833-1501 | 2008-08-28 |
| 1902069859 | Chaitali Parekh | Optometrist | 2217 Terraza Pl, Fullerton, CA 92835-3311 | 2008-07-09 |
| 1922123926 | Loren D. Rude | Optometrist | 2575 Yorba Linda Blvd # D, Fullerton, CA 92831-1615 | 2007-03-20 |
| 1598814436 | Sung Soo Kim | Optometrist | 1028 Rosecrans Ave, Fullerton, CA 92833-1948 | 2007-01-09 |
| 1750446001 | John Nguyen | Optometrist | 1912 W Commonwealth Ave Ste D, Fullerton, CA 92833-3040 | 2006-12-27 |
| 1477618148 | Vernon Sanford Agarth Jr. | Optometrist | 1912 W Commonwealth Ave, Suite D, Fullerton, CA 92833-3040 | 2006-12-23 |
| Find all providers in FULLERTON | ||||
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| 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.