Alexandros George Marneris, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

35804 Issued in CA

Practice address

12100 Palmdale Rd Ste B10
Adelanto, CA 92301-6709

Phone

(760) 246-2002

Fax

(760) 246-2016

NPI assigned

Jul 26, 2024

Last updated

Sep 26, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bryan D. Vanesian OD a Professional Optometry CorporationGroup PAC ID 4880753359, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bryan D. Vanesian OD a Professional Optometry Corporation

  • Optometrist
  • Phelan, CA
  • NPI 1437312832
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1346079662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25150 W CHANNON DR UNIT 1146",
            "city": "CHANNAHON",
            "state": "IL",
            "postal_code": "604104954",
            "telephone_number": "815-661-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12100 PALMDALE RD STE B10",
            "city": "ADELANTO",
            "state": "CA",
            "postal_code": "923016709",
            "telephone_number": "760-246-2002",
            "fax_number": "760-246-2016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9404 Central Ave",
            "address_purpose": "LOCATION",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632421",
            "country_code": "US",
            "telephone_number": "909-482-0369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARNERIS",
        "first_name": "ALEXANDROS",
        "middle_name": "GEORGE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-26",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randall Kyle Lynn
• Michael Andres Macias
• Paula Andrea Madera Rivera
• Allyson Maryne Magallanes
• Evelyn Magana
• Mercy Meadows (Mercy Meadows Developmental Home)
• Ramez Michail
• Molina Healthcare of Californa
• Paul Johnson Bas Molina, PHARM.D.
• Keith Allen Montgomery Jr., N.P.

• Optometrist in Adelanto, CA
• Providers in Adelanto, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.