Maranda Heather Decierdo, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

35732 Issued in CA

Practice address

6247 Jarvis Ave
Newark, CA 94560-1212

Phone

(510) 494-8880

NPI assigned

Jun 12, 2024

Last updated

Jun 12, 2024By the provider in NPPES

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

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.

• Judy Nguyen, OD, Inc.

  dba Bella Eye Care Optometry

  • Optometrist
  • Newark, CA
  • NPI 1316330780
  Medicare reassignment NPD
• Judy T. Nguyen, OD

  • Optometrist
  • Newark, CA
  • NPI 1437457892
  NPD (past)

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

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1962244582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 MONTE CARLO AVE",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945873719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6247 JARVIS AVE",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945601212",
            "telephone_number": "510-494-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECIERDO",
        "first_name": "MARANDA",
        "middle_name": "HEATHER",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-12",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Thornton Davis
• Aron Rei De Guzman
• Norma Jean Dean
• Eugene Deas
• Anthony Deaton
• Sophia Belle Decker
• Malcolm King Defils
• Alice Lucinda Del Rosario, MD
• Grace Lacson Del Rosario
• Angelina Dela Cruz

• Optometrist in Newark, CA
• Providers in Newark, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.