NPIMap

Organization Active NPI

Dr. Marc S. Thall Optometry, Inc

  • Optometrist
  • Mission Hills, CA
National Provider Identifier
1609214642
Registry record updated Oct 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT5607TPA Issued in CA
Legal business name
DR. MARC S. THALL OPTOMETRY, INC
Practice address
10316 Sepulveda Blvd
Mission Hills, CA 91345-2422
Phone
(818) 361-4020
NPI assigned
Jun 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2013

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

Authorized official

Name
Marc Stewart Thall, OD
Title
Optometry
Phone
(818) 361-4020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT5607TPA CA Primary

Addresses

Primary practice location

10316 Sepulveda Blvd
Mission Hills, CA 91345-2422

Mailing address

10316 Sepulveda Blvd
Mission Hills, CA 91345-2422
Phone (818) 361-4020

National Provider Directory

National Provider Directory

Locations

10316 Sepulveda Blvd
Mission Hills, CA 91345
Phone (818) 361-4020

NPI Registry JSON

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382659200000",
    "number": "1609214642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10316 SEPULVEDA BLVD",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913452422",
            "telephone_number": "818-361-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10316 SEPULVEDA BLVD",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913452422",
            "telephone_number": "818-361-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MARC S. THALL OPTOMETRY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-12",
        "last_updated": "2013-10-25",
        "status": "A",
        "authorized_official_last_name": "THALL",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "STEWART",
        "authorized_official_title_or_position": "OPTOMETRY",
        "authorized_official_telephone_number": "818-361-4020",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT5607TPA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; 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.