Mark Lowrey Skinner, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

9363T Issued in CA

Practice address

8275 Sierra Ave
Suite 103
Fontana, CA 92335-3557

Phone

(909) 822-1115

NPI assigned

Jun 28, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr. Skinner Optometry P.C.

  • Clinic/Center
  • Fontana, CA
  • NPI 1326302316
  Authorized official Same address or phone
• Gintien Huang MD Inc

  dba San Bernardino Eye Specialists

  • Ophthalmology Physician
  • San Bernardino, CA
  • NPI 1609437599

  Optometrist

  NPD

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952339145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2200",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923342200",
            "telephone_number": "909-822-1115",
            "fax_number": "909-822-6346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8275 SIERRA AVE",
            "address_2": "SUITE 103",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923353557",
            "telephone_number": "909-822-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "MARK",
        "middle_name": "LOWREY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9363T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea C. Sircable, DO
• Frances Elise Sisnett, PHARM.D
• Sister Loving Sisters Doula Care
• Lilybeth Calingasan Sistoza, MD
• Ragu Sivarajan, D.O,.
• Terry Richard Skok, RNP
• Nisreen Sloulin, OD
• Brandon James Smallwood
• Kyle N Smart, DO
• Smi Transportation Service Inc.

• Optometrist in Fontana, CA
• Providers in Fontana, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.