Mark P Maher Optometric Corporation

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

7988T Issued in CA

Legal business name

MARK P MAHER OPTOMETRIC CORPORATION

Practice address

419 Vineyard Town Ctr
Morgan Hill, CA 95037-5631

NPI assigned

May 8, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Carolyn J Connor, OD

Title

Secretary

Phone

(408) 779-2266

Specialties & licenses 1

Addresses

Other names 1

• Your Eyes Image Doing business as

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carolyn Joy Baker Connor, OD

  • Optometrist
  • Morgan Hill, CA
  • NPI 1992854012

  CA

  Medicare reassignment Care Compare group NPD
• Mark Paul Maher, OD

  • Optometrist
  • Morgan Hill, CA
  • NPI 1811049810

  CA

  Medicare reassignment Care Compare group NPD

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1003305657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 VINEYARD TOWN CTR",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950375631",
            "telephone_number": "408-779-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 VINEYARD TOWN CTR",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950375631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK P MAHER OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-08",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "CONNOR",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "408-779-2266",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "7988T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Your Eyes Image",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maria D Malicdem, LPT
• Anika Mandel
• Harsirat K Mangat Gondara, D.M.D
• Priscilla Janice Marbell, MD
• Mark a Reber, DDS. Ms, Inc.
• Nicola Elaine Marriott, BSC (HONS)
• Mario A Marroquin, DDS
• Caroline Joy Martin, MA
• Teresa L Martinez
• Leah Massoud, DMD

• All providers in Morgan Hill, CA
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.