Individual provider Active NPI

Marzena Kelder Gilbert, O.D.

  • Optometrist
  • Ventura, CA
National Provider Identifier
1245504851
Registry record updated Aug 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13959 Issued in CA
Practice address
1280 S Victoria Ave
#100
Ventura, CA 93003-6555
Phone
(805) 650-9922
NPI assigned
Feb 29, 2012
Last updated
Aug 10, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13959 CA Primary

Addresses

Primary practice location

1280 S Victoria Ave
#100
Ventura, CA 93003-6555

Mailing address

1280 S Victoria Ave
#100
Ventura, CA 93003-6555
Phone (805) 650-9922

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
I20150109001886 CA Practitioner - Optometry 0749504272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ventura Optometric Vision Care Inc.Group PAC ID 8820045636, 6 clinicians

Practice addresses (Care Compare)

1280 S Victoria
Suite 100
Ventura, CA 93003-6550
Phone (805) 650-9922

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ventura Optometric Vision Care Inc. Optometrist CurrentSince Nov 26, 2014 Accepting new patients

Locations

1280 S Victoria Ave
Ventura, CA 93003
Phone (805) 658-3937

1280 S Victoria Ave
Ste 100
Ventura, CA 93003
Phone (805) 650-9922

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344556800000",
    "number": "1245504851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 S VICTORIA AVE",
            "address_2": "#100",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036555",
            "telephone_number": "805-650-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 S VICTORIA AVE",
            "address_2": "#100",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036555",
            "telephone_number": "805-650-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "MARZENA",
        "middle_name": "KELDER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-29",
        "last_updated": "2012-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.