Organization Active NPI

Marin Optical Holdings

  • Optician
  • Mill Valley, CA
National Provider Identifier
1649781386
Registry record updated Oct 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
MARIN OPTICAL HOLDINGS
Practice address
70 Throckmorton Ave
Mill Valley, CA 94941-1918
Phone
(415) 383-4085
Fax
(415) 634-1364
NPI assigned
Oct 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2017

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

Authorized official

Name
Quynh Nguyen
Title
Owner
Phone
(415) 383-4085

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1800X CA Primary

Addresses

Primary practice location

70 Throckmorton Ave
Mill Valley, CA 94941-1918

Mailing address

70 Throckmorton Ave
Mill Valley, CA 94941-1918
Phone (415) 383-4085

Other names 1

  • Wink Optics Doing business as

National Provider Directory

National Provider Directory

Locations

70 Throckmorton Ave
Mill Valley, CA 94941
Phone (415) 383-4085

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1508457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508457600000",
    "number": "1649781386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 THROCKMORTON AVE",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949411918",
            "telephone_number": "415-383-4085",
            "fax_number": "415-634-1364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 THROCKMORTON AVE",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949411918",
            "telephone_number": "415-383-4085",
            "fax_number": "415-634-1364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIN OPTICAL HOLDINGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-20",
        "last_updated": "2017-10-20",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "QUYNH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-383-4085"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wink Optics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mill Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2017; 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.