Active NPI
Mary McMains OD Med an Optometric Corporation
- Corneal and Contact Management Optometrist
- San Diego, CA
National Provider Identifier
1144369372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- 11525T
- Legal business name
- MARY MCMAINS OD MED AN OPTOMETRIC CORPORATION
- Practice address
- 3355 4TH Ave
San Diego, CA 92103-5703 - Phone
- (619) 229-9767
- Fax
- (619) 692-0747
- NPI assigned
- Feb 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary McMains, OD
- Title
- President
- Phone
- (619) 229-9767
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | 11525T | CA | Primary |
| Pediatric Optometrist | 152WP0200X | 11525T | CA | |
| Sports Vision Optometrist | 152WS0006X | 11525T | CA | |
| Vision Therapy Optometrist | 152WV0400X | 11525T | CA | |
| Occupational Vision Optometrist | 152WX0102X | 11525T | CA |
Addresses
Primary practice location
3355 4TH Ave
San Diego, CA 92103-5703
Mailing address
3355 4TH Ave
San Diego, CA 92103-5703
Phone (619) 229-9767
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| COR 978 | Other | CA | CORPORATE LICENSE NUMBER |
Other names 1
- Insight Vision Development Center, Family Optometry
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1144369372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3355 4TH AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921035703",
"telephone_number": "619-229-9767",
"fax_number": "619-692-0747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3355 4TH AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921035703",
"telephone_number": "619-229-9767",
"fax_number": "619-692-0747"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARY MCMAINS OD MED AN OPTOMETRIC CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-05",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "MCMAINS",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "619-229-9767",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist, Corneal and Contact Management",
"state": "CA",
"license": "11525T",
"primary": true
},
{
"code": "152WP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist, Pediatrics",
"state": "CA",
"license": "11525T",
"primary": false
},
{
"code": "152WS0006X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist, Sports Vision",
"state": "CA",
"license": "11525T",
"primary": false
},
{
"code": "152WV0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist, Vision Therapy",
"state": "CA",
"license": "11525T",
"primary": false
},
{
"code": "152WX0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist, Occupational Vision",
"state": "CA",
"license": "11525T",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CORPORATE LICENSE NUMBER",
"identifier": "COR 978",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Insight Vision Development Center, Family Optometry",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.