Individual provider Active NPI

Dennis R Fellner, O.D

  • Optometrist
  • Marysville, CA
National Provider Identifier
1740282086
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT5143TPA Issued in CA
Practice address
320 H St
Ste 4
Marysville, CA 95901-5834
Phone
(530) 743-4453
Fax
(530) 743-0427
NPI assigned
Jun 1, 2005
Reactivated
Apr 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT5143TPA CA Primary

Addresses

Primary practice location

320 H St
Ste 4
Marysville, CA 95901-5834

Mailing address

320 H St
Ste 4
Marysville, CA 95901-5834
Phone (530) 743-4453

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT5143TPACAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Paris E. Royo, MD Inc Past Accepting new patients

Organizations & group practices 1

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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1740282086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 H ST",
            "address_2": "STE 4",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959015834",
            "telephone_number": "530-743-4453",
            "fax_number": "530-743-0427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 H ST",
            "address_2": "STE 4",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959015834",
            "telephone_number": "530-743-4453",
            "fax_number": "530-743-0427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELLNER",
        "first_name": "DENNIS",
        "middle_name": "R",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2026-07-13",
        "deactivation_date": "2006-03-25",
        "reactivation_date": "2006-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT5143TPA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.