Marianna Kong, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

15400 Issued in CA

Practice address

6180 State Farm Dr
Rohnert Park, CA 94928-2135

Phone

(707) 584-7294

Fax

(707) 584-4728

NPI assigned

Oct 8, 2015

Sex

Female

Sole proprietor

No

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

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 and National Provider Directory roles.

• Lewis Sacker Bliss, M.D.

  • Ophthalmology Physician
  • Sacramento, CA
  • NPI 1417908062
  Medicare reassignment
• James E Bruns OD a Professional

  • Point of Service
  • Rohnert Park, CA
  • NPI 1306112362
  NPD
• Aeg Massachusetts Professional PC

  • Optometrist
  • Andover, MA
  • NPI 1952035040
  NPD (past)

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

{
    "created_epoch": "1444262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1477924173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6180 STATE FARM DR",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949282135",
            "telephone_number": "707-584-7294",
            "fax_number": "707-584-4728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6180 STATE FARM DR",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949282135",
            "telephone_number": "707-584-7294",
            "fax_number": "707-584-4728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONG",
        "first_name": "MARIANNA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-08",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prabhdeep Kaur Khunkhun, MD
• Amy Jihyon Kim, LMFT
• Susan W Kimani
• Emily Kline
• Yong S Ko, D.C.
• Gail Harriet Kramer, RNNP
• Kratos Performance & Physiotherapy Inc.
• Tara Krueger, PSY.D.
• Karen Signa Kurtovich, PT
• Labeautyandhair

• Optometrist in Rohnert Park, CA
• Providers in Rohnert Park, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.