Individual provider Active NPI

Marilyn Mun Ye NG, O.D.

  • Optometrist
  • San Francisco, CA
National Provider Identifier
1720159239
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12910T Issued in CA
Practice address
1826 Buchanan St Ste a
San Francisco, CA 94115-3211
Phone
(415) 931-1903
Fax
(415) 931-1904
NPI assigned
Nov 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 12910T CA Primary

Addresses

Primary practice location

1826 Buchanan St Ste a
San Francisco, CA 94115-3211

Mailing address

1826 Buchanan St Ste a
San Francisco, CA 94115-3211
Phone (415) 931-1903

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
I20070601000497 CA Practitioner - Optometry 7315045150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Verissa Lam Optometry CorporationGroup PAC ID 9133508377, 3 clinicians

Practice addresses (Care Compare)

100 Battery St
San Francisco, CA 94111-4903
Phone (415) 399-1773

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12910TCAMDOptometrist
12910CAMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Verissa Lam Optometry Corporation Optometrist CurrentSince Jul 1, 2022 Accepting new patients
Luxottica of America Inc. Past Accepting new patients
James H. Wong, OD, Professional Optometric Corporation Optometrist PastSince Oct 4, 2014 Accepting new patients

Locations

270 University Ave
Palo Alto, CA 94301
Phone (415) 399-1773

3251 20th Ave
Ste 219
San Francisco, CA 94132
Phone (415) 566-9199

100 Battery St
San Francisco, CA 94111
Phone (415) 399-1473

Organizations & group practices 3

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": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720159239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1826 BUCHANAN ST STE A",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153211",
            "telephone_number": "415-931-1903",
            "fax_number": "415-931-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1826 BUCHANAN ST STE A",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153211",
            "telephone_number": "415-931-1903",
            "fax_number": "415-931-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NG",
        "first_name": "MARILYN",
        "middle_name": "MUN YE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12910T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.