Mark S Ichikawa, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

7965T Issued in CA

Legal business name

MARK S ICHIKAWA, OD

Practice address

596 E El Camino Real
Suite 2
Sunnyvale, CA 94087-1940

Phone

(408) 245-6212

NPI assigned

Jun 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mark Ichikawa, O.D.

Title

Sole Proprietor

Phone

(408) 245-6212

Specialties & licenses 1

Addresses

Other names 1

• Sunnyvale Optometry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cindy H. Tran, O.D.

  • Optometrist
  • Sunnyvale, CA
  • NPI 1669495164
  NPD (past)

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1477595007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "596 E EL CAMINO REAL",
            "address_2": "SUITE 2",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940871940",
            "telephone_number": "408-245-6212",
            "fax_number": "408-245-6233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 E EL CAMINO REAL",
            "address_2": "SUITE 2",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940871940",
            "telephone_number": "408-245-6212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK S ICHIKAWA, OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "ICHIKAWA",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "408-245-6212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7965T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunnyvale Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rana Jaylene Marinas, FNP
• Jeanette Marino, MS, LCGC
• Mark David Levinem MD Sunnyvale PC
• Mark E Gray DC Chiropractic Corp
• Mark E Gray DC Chiropractic Corp
• Mark William Dal Porto DDS Inc
• David Bruce Mark, M.D.
• /Carol Louise Marks, M.S.
• Thomas Kent Markuson, D.D.S.
• Steven C Marshall, D.D.S.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.