Terri Justine Mark, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

10634T Issued in CA

Practice address

37 Bovet Rd
San Mateo, CA 94402-3104

Phone

(650) 570-5955

Fax

(650) 570-7124

NPI assigned

Jan 26, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sixth Optometric Care of California PCGroup PAC ID 1153804562, 9 clinicians

Marcie Arnesty-Olian OD a Prof CorpGroup PAC ID 8224222419, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Marcie Arnesty-Olian, OD, a Prof Corp

  • Eyewear Supplier
  • San Mateo, CA
  • NPI 1902076466

  Optometrist

  Medicare reassignment Care Compare group NPD
• Sixth Optometric Care of California PC

  • Optometrist
  • San Jose, CA
  • NPI 1447120928
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871649202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 ROSILIE ST",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944034912",
            "telephone_number": "650-522-9969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 BOVET RD",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944023104",
            "telephone_number": "650-570-5955",
            "fax_number": "650-570-7124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARK",
        "first_name": "TERRI",
        "middle_name": "JUSTINE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10634T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gloria Mercedes Mariscal
• Marite Grandovskis PHD
• Mark Abramson, D D S Inc
• Mark David Levine, MD Burlingame PC
• Lois Nora Mark, LCSW
• Connie Markoff
• Anna Helena Markus, RD
• Helen Louise Marlo, PH.D.
• Tatyana Marmuyenko
• Marna M Skaar MD Inc

• Optometrist in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.