Organization Active NPI

Marcie Arnesty-Olian, OD, a Prof Corp

  • Eyewear Supplier
  • San Mateo, CA
National Provider Identifier
1902076466
Registry record updated Jun 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
7122T Issued in CA
Legal business name
MARCIE ARNESTY-OLIAN, OD, A PROF CORP
Doing business as
Borel Eye Doctors Optometry with Vision
Practice address
37 Bovet Rd
San Mateo, CA 94402-3104
Phone
(650) 570-5955
Fax
(650) 570-7124
NPI assigned
Mar 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2015

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

Authorized official

Name
Mrs. Marcie E Arnesty-Olian, O.D.
Title
Owner / Optometrist
Phone
(650) 570-5955

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 7122T CA
Eyewear Supplier 332H00000X 7122T CA Primary

Addresses

Primary practice location

37 Bovet Rd
San Mateo, CA 94402-3104

Mailing address

37 Bovet Rd
San Mateo, CA 94402-3104
Phone (650) 570-5955

Other names 1

  • Borel Eye Doctors Optometry with Vision Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101102000205 CA Part B Supplier - Clinic/Group Practice 8224222419 Receives reassigned benefits from 4 practitioners
Practice locations: San Mateo, CA

National Provider Directory

National Provider Directory

Locations

37 Bovet Rd
San Mateo, CA 94402
Phone (650) 570-5955

1528 S El Camino Real
San Mateo, CA 94402

1528 S El Camino Real
Ste 10
San Mateo, CA 94402

1528 S El Camino Real
Ste 101
San Mateo, CA 94402
Phone (650) 570-5955

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434672000000",
    "number": "1902076466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": {
        "organization_name": "MARCIE ARNESTY-OLIAN, OD, A PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2015-06-19",
        "status": "A",
        "authorized_official_last_name": "ARNESTY-OLIAN",
        "authorized_official_first_name": "MARCIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER / OPTOMETRIST",
        "authorized_official_telephone_number": "650-570-5955",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7122T",
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CA",
            "license": "7122T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Borel Eye Doctors Optometry with Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.