Active NPI
Marianna Samuels, O.D.
- Optometrist
- Encinitas, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 14196TLG
- Practice address
- 477 N El Camino Real Ste C202
Encinitas, CA 92024-1332 - Phone
- (760) 631-3500
- NPI assigned
- Oct 14, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 14196TLG | CA | Primary |
Addresses
Primary practice location
477 N El Camino Real Ste C202
Encinitas, CA 92024-1332
Mailing address
477 N El Camino Real Ste C202
Encinitas, CA 92024-1332
Phone (760) 631-3500
Other practice location 1
7305 Pacific Blvd Fl 3
Huntington Park, CA 90255-5736
Phone (323) 587-7000
Other names 1
- Dr. Marianna Mkrtchyan
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120509000385 | CA | Practitioner - Optometry | 8527220524 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15706 Pomerado Rd
Suite 103
Poway, CA 92064-2032
Phone (858) 451-8600
225 E 2ND Ave
Suite 310
Escondido, CA 92025-4202
Phone (760) 738-9985
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14196 | CA | MD | Mental Health Counselor |
| 14196TLG | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North County Eye Physicians, Inc | Current | Accepting new patients | |
| North County Eye Center, Inc. | Optometrist | Current | Accepting new patients |
| Duane Decroupet OD a PC | Optometrist | Past | Accepting new patients |
Locations
225 E 2nd Ave
Ste 310
Escondido, CA 92025
Phone (760) 738-9985
251 E 4th Ave
Escondido, CA 92025
Phone (760) 738-9985
15706 Pomerado Rd
Ste 103
Poway, CA 92064
Phone (858) 451-8600
838 Nordahl Rd
Ste 220
San Marcos, CA 92069
Phone (760) 738-9985
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.
-
- Optometrist
- Glendale, CA
- NPI 1730258476
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1760767461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "477 N EL CAMINO REAL STE C202",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920241332",
"telephone_number": "760-631-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "477 N EL CAMINO REAL STE C202",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920241332",
"telephone_number": "760-631-3500"
}
],
"practiceLocations": [
{
"address_1": "7305 Pacific Blvd Fl 3",
"address_purpose": "LOCATION",
"city": "Huntington Park",
"state": "CA",
"postal_code": "902555736",
"country_code": "US",
"telephone_number": "323-587-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAMUELS",
"first_name": "MARIANNA",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-14",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "14196TLG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARIANNA",
"last_name": "MKRTCHYAN",
"prefix": "DR.",
"credential": "OD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Encinitas, CA
- Gerald Wayne Saline, PHD. CCC-A
- Steven A. Salinger, M.D.
- Heather Shelana Saltos, M.D.
- Sanjum Paul Singh Samagh, M.D.
- Samina Makani, M.D.
- San Diego Cardiovascular Associates Medical Group Inc
- San Diego Coastal Endocrinology Group, a Medical Corporation
- San Diego Diagnostic Radiology Medical Group, Inc.
- San Diego Eyelid Specialists, Inc.
- San Diego Grief Counseling
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.