Marin Ophthalmic Gallary

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1190640001 Issued in CA

Legal business name

MARIN OPHTHALMIC GALLARY

Practice address

901 E St Ste 285
San Rafael, CA 94901-2850

Phone

(415) 460-6263

NPI assigned

Nov 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John Campbell, MD

Title

Doctor

Phone

(415) 454-5586

Specialties & licenses 1

Addresses

Other names 1

• Marin Ophthalmic Consultants Other name

Locations

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063587202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E ST STE 285",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012850",
            "telephone_number": "415-460-6263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E ST STE 285",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012850",
            "telephone_number": "415-460-6263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIN OPHTHALMIC GALLARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "415-454-5586",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "1190640001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marin Ophthalmic Consultants",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Marin Individual Practice Association (DBA: Core Physical Therapy, DBA: Meritage Medical Network)
• Marin Naturopathic Medicine
• Marin Neuropsychology and Psychological Center, PC
• Marin Neuropsychology Center - a Psychology Corporation
• Marin Ophthalmic Consultants, a Medical Corporation
• Marin Ophthalmic Surgery Center
• Marin Optometric Group, Inc
• Marin Outpatient and Recovery Services
• Marin Outpatient Recovery Services
• Marin Petct Imaging, LLC

• Durable Medical Equipment & Medical Supplies in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.