Individual provider Active NPI

Albert Gee Mar, O.D.

  • Optometrist
  • Sacramento, CA
National Provider Identifier
1447336912
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6081T Issued in CA
Practice address
6320 Mack Rd
Sacramento, CA 95823-4646
Phone
(916) 421-3986
Fax
(916) 421-5470
NPI assigned
Oct 27, 2006
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 6081T CA Primary

Addresses

Primary practice location

6320 Mack Rd
Sacramento, CA 95823-4646

Mailing address

6320 Mack Rd
Sacramento, CA 95823-4646
Phone (916) 421-3986

Other identifiers 2

IdentifierTypeStateIssuer
SD0060811MedicaidCA
942401552OtherCAINSURANCE

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
I20140716001456 CA Practitioner - Optometry 3476779067 Practice locations: Citrus Heights, CA; Sacramento, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6081TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas Wing OD Optometrist Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447336912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 MACK RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958234646",
            "telephone_number": "916-421-3986",
            "fax_number": "916-421-5470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 MACK RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958234646",
            "telephone_number": "916-421-3986",
            "fax_number": "916-421-5470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAR",
        "first_name": "ALBERT",
        "middle_name": "GEE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6081T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0060811",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE",
            "identifier": "942401552",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.