Organization Active NPI

Greg L Marlay

  • Preferred Provider Organization
  • National City, CA
National Provider Identifier
1184779159
Registry record updated Aug 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
6998 Issued in CA
Legal business name
GREG L MARLAY
Practice address
1132 E Plaza Blvd
Suite 201
National City, CA 91950-3548
Phone
(619) 477-4166
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2013

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

Authorized official

Name
Greg Lief Marlay, OPTOMETRISTNPI 1306903083
Title
Owner
Phone
(619) 477-4166

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 6998 CA Primary

Addresses

Primary practice location

1132 E Plaza Blvd
Suite 201
National City, CA 91950-3548

Mailing address

1132 E Plaza Blvd
Suite 201
National City, CA 91950-3548
Phone (619) 477-4166

Other identifiers 1

IdentifierTypeStateIssuer
DS0069980MedicaidCA

National Provider Directory

National Provider Directory

Locations

1132 E Plaza Blvd
Ste 201
National City, CA 91950
Phone (619) 477-4166

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375315200000",
    "number": "1184779159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 E PLAZA BLVD",
            "address_2": "SUITE 201",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919503548",
            "telephone_number": "619-477-4166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 E PLAZA BLVD",
            "address_2": "SUITE 201",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919503548",
            "telephone_number": "619-477-4166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREG L MARLAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2013-08-01",
        "status": "A",
        "authorized_official_last_name": "MARLAY",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "LIEF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-477-4166",
        "authorized_official_credential": "OPTOMETRIST"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "6998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DS0069980",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in National City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; 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.