Individual provider Active NPI

Marcie Ellen Arnesty, O.D.

  • Optometrist
  • San Mateo, CA
National Provider Identifier
1427103787
Registry record updated Apr 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7122T Issued in CA
Practice address
37 Bovet Rd
San Mateo, CA 94402-3104
Phone
(650) 570-5955
Fax
(650) 570-7124
NPI assigned
Jan 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7122T CA Primary

Addresses

Primary practice location

37 Bovet Rd
San Mateo, CA 94402-3104

Mailing address

37 Bovet Rd
San Mateo, CA 94402-3104
Phone (650) 570-5955

Other names 1

  • Dr. Marcie Ellen Arnesty-Olian Former name

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
I20101102000286 CA Practitioner - Optometry 8921292129 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marcie Arnesty-Olian OD a Prof CorpGroup PAC ID 8224222419, 3 clinicians

Practice addresses (Care Compare)

1528 S El Camino Real
Suite 101
San Mateo, CA 94402-3067
Phone (650) 570-5955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7122TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Marcie Arnesty-Olian, OD, a Prof Corp Optometrist CurrentSince Jul 19, 2010 Accepting new patients

Locations

1528 S El Camino Real
Ste 101
San Mateo, CA 94402
Phone (650) 570-5955

37 Bovet Rd
San Mateo, CA 94402
Phone (650) 570-5955

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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427932800000",
    "number": "1427103787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 BOVET RD",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944023104",
            "telephone_number": "650-570-5955",
            "fax_number": "650-570-7124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 BOVET RD",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944023104",
            "telephone_number": "650-570-5955",
            "fax_number": "650-570-7124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNESTY",
        "first_name": "MARCIE",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2015-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7122T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCIE",
            "last_name": "ARNESTY-OLIAN",
            "middle_name": "ELLEN",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Mateo, CA

Sources for this page

Verify at the official NPI Registry.