Individual provider Active NPI

Greg Lief Marlay, O.D.

  • Optometrist
  • National City, CA
National Provider Identifier
1306903083
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6998 Issued in CA
Practice address
1132 E Plaza Blvd
Suite 201
National City, CA 91950-3548
Phone
(619) 477-4166
NPI assigned
Jan 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 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

Other identifiers 1

IdentifierTypeStateIssuer
SD0069980MedicaidCA

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
I20140509001816 CA Practitioner - Optometry 0345473021 Practice locations: National City, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6998CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Greg L Marlay PastSince May 13, 2013 Accepting new patients
Luminoptix Optometry Optometrist Past Accepting new patients

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": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306903083",
    "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"
        },
        {
            "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": {
        "last_name": "MARLAY",
        "first_name": "GREG",
        "middle_name": "LIEF",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0069980",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in National City, CA

Sources for this page

Verify at the official NPI Registry.