Individual provider Active NPI

Marian Pishay, OD

  • Optometrist
  • Chino Hills, CA
National Provider Identifier
1205685377
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT35653-TLG Issued in CA
Practice address
2472 Windmill Creek Rd
Chino Hills, CA 91709-4354
Phone
(909) 717-9810
NPI assigned
May 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT35653-TLG CA Primary

Addresses

Primary practice location

2472 Windmill Creek Rd
Chino Hills, CA 91709-4354

Mailing address

2472 Windmill Creek Rd
Chino Hills, CA 91709-4354
Phone (909) 717-9810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240619002533 CA Practitioner - Optometry 9638612500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athena Brasfield OD a Professional CorporationGroup PAC ID 0749577088, 8 clinicians

Practice addresses (Care Compare)

82227 US Hwy 111
Suite B2
Indio, CA 92201-5668
Phone (760) 347-6636

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35653CAMDGeneral Practice Dentistry
OPT35653-TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Athena Brasfield OD a Professional Corporation Optometrist CurrentSince May 7, 2024 Accepting new patients
Dr. Gregory L. McFarland, O.D., P.C Optometrist PastSince Apr 9, 2018 Accepting new patients

Locations

34131 Date Palm Dr
Ste F1
Cathedral City, CA 92234

52565 Harrison St
Ste 105
Coachella, CA 92236
Phone (760) 347-6636

82227 US Highway 111
Ste B2
Indio, CA 92201
Phone (760) 347-6636

400 S Farrell Dr
Ste B130
Palm Springs, CA 92262
Phone (760) 347-6636

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1205685377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2472 WINDMILL CREEK RD",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917094354",
            "telephone_number": "909-717-9810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2472 WINDMILL CREEK RD",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917094354",
            "telephone_number": "909-717-9810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISHAY",
        "first_name": "MARIAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT35653-TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino Hills, CA

Sources for this page

Verify at the official NPI Registry.