Active NPI
Marquee Eyecare Center of Berkeley Inc
- Optician
- Berkeley, CA
National Provider Identifier
1760990980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- SL6399
- Legal business name
- MARQUEE EYECARE CENTER OF BERKELEY INC
- Practice address
- 2174 Shattuck Ave
Berkeley, CA 94704-1307 - Phone
- (510) 841-6963
- Fax
- (510) 548-1822
- NPI assigned
- Jan 22, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Felix K Karanja, RSLD
- Title
- President
- Phone
- (415) 419-4616
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | SL6399 | CA | Primary |
Addresses
Primary practice location
2174 Shattuck Ave
Berkeley, CA 94704-1307
Mailing address
2174 Shattuck Ave
Berkeley, CA 94704-1307
Phone (510) 841-6963
Other names 1
- Site For Sore Eyes # 503
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optician
- Santa Rosa, CA
- NPI 1891081287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516579200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1516579200000",
"number": "1760990980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2174 SHATTUCK AVE",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947041307",
"telephone_number": "510-841-6963",
"fax_number": "510-548-1822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2174 SHATTUCK AVE",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947041307",
"telephone_number": "510-841-6963",
"fax_number": "510-548-1822"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARQUEE EYECARE CENTER OF BERKELEY INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-22",
"last_updated": "2018-01-22",
"status": "A",
"authorized_official_last_name": "KARANJA",
"authorized_official_first_name": "FELIX",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "415-419-4616",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RSLD"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": "CA",
"license": "SL6399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Site For Sore Eyes # 503",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.