Active NPI
Mark David Handmacher
- Optician
- San Diego, CA
National Provider Identifier
1043438666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- D 3439
- Practice address
- 325 W. Washington St.
Insight Optical Center
San Diego, CA 92103 - Phone
- (619) 291-3937
- Fax
- (619) 291-3937
- NPI assigned
- Apr 20, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | D 3439 | CA | Primary |
Addresses
Primary practice location
325 W. Washington St.
Insight Optical Center
San Diego, CA 92103
Mailing address
325 W. Washington St.
Insight Optical Center
San Diego, CA 92103
Phone (619) 291-3937
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D 3439 | CA | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229558400000",
"number": "1043438666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 W. WASHINGTON ST.",
"address_2": "INSIGHT OPTICAL CENTER",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92103",
"telephone_number": "619-291-3937",
"fax_number": "619-291-3937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 W. WASHINGTON ST.",
"address_2": "INSIGHT OPTICAL CENTER",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92103",
"telephone_number": "619-291-3937",
"fax_number": "619-291-3937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANDMACHER",
"first_name": "MARK",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-20",
"last_updated": "2008-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "CA",
"license": "D 3439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.