Individual provider Active NPI

Marianne Pia Hoenig, OD., MA., FAAO

  • Pediatric Optometrist
  • Berkeley, CA
National Provider Identifier
1467575993
Registry record updated Jan 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric OptometristTaxonomy code 152WP0200X
License
9262 Issued in CA
Practice address
Binocular Vision Clinic School of Optometry
University of California Berkeley
Berkeley, CA 94720-2020
Phone
(510) 642-2020
Fax
(707) 542-3810
NPI assigned
Apr 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Optometrist 152WP0200X 9262 CA Primary

Addresses

Primary practice location

Binocular Vision Clinic School of Optometry
University of California Berkeley
Berkeley, CA 94720-2020

Mailing address

2777 Yulupa Ave
222
Santa Rosa, CA 95405-8584
Phone (707) 542-7146

Other identifiers 1

IdentifierTypeStateIssuer
SD0092620MedicaidCA

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
I20060221000539 CA Practitioner - Optometry 9739195249 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
9262CAMDPediatric Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California at Berkeley CurrentSince Jul 1, 2005 Accepting new patients

Locations

200 Minor Hall
Ste 384A
Berkeley, CA 94720
Phone (510) 642-7844

230 Minor Hall
Berkeley, CA 94720
Phone (510) 642-0609

200 Minor Hall
Berkeley, CA 94720
Phone (510) 642-0945

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": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422144000000",
    "number": "1467575993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2777 YULUPA AVE",
            "address_2": "222",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954058584",
            "telephone_number": "707-542-7146",
            "fax_number": "707-542-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BINOCULAR VISION CLINIC SCHOOL OF OPTOMETRY",
            "address_2": "UNIVERSITY OF CALIFORNIA BERKELEY",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947202020",
            "telephone_number": "510-642-2020",
            "fax_number": "707-542-3810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOENIG",
        "first_name": "MARIANNE",
        "middle_name": "PIA",
        "name_prefix": "Dr.",
        "credential": "OD., MA., FAAO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2015-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "CA",
            "license": "9262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0092620",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.