| Marissa Huang, OD | |
|
1300 Grant Ave, Suite 102, Novato, CA 94945-3167 | |
| (415) 898-2320 | |
| (415) 892-7000 |
| Full Name | Marissa Huang |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 1300 Grant Ave, Novato, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861801177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | TUV008153-1 (New York) | Secondary |
| 152W00000X | Optometrist | 15444 (California) | Primary |
| Provider Name | Petaluma Eye Care Optometric Associates, Inc. A Professional Corp. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1578990552 PECOS PAC ID: 1355573825 Enrollment ID: O20140415002193 |
| Provider Name | Deval Patel Optometric Corporation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1306402508 PECOS PAC ID: 6800275322 Enrollment ID: O20220614000311 |
| Mailing Address | Practice Location Address |
|---|---|
| Marissa Huang, OD 20 Jacob Ct, Novato, CA 94945-3409 Ph: () - | Marissa Huang, OD 1300 Grant Ave, Suite 102, Novato, CA 94945-3167 Ph: (415) 898-2320 |
Dr. Tania M. Mantua, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7075 Redwood Blvd Ste F, Novato, CA 94945 Phone: 415-897-2997 Fax: 415-898-3626 | |
E Craig Mccurdy, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1730 Novato Blvd, Suite C, Novato, CA 94947 Phone: 415-897-1161 Fax: 415-899-9871 | |
Suzanne D Huang, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1300 Grant Ave, #102, Novato, CA 94945 Phone: 415-898-2320 Fax: 415-892-7000 | |
Matt Siu, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7075 Redwood Blvd, Ste F, Novato, CA 94945 Phone: 415-897-2997 | |
Jasmine Huanjing Chen O.d. A Professional Corporation Optometrist Medicare: Medicare Enrolled Practice Location: 208 Vintage Way, Suite K21, Novato, CA 94945 Phone: 415-897-3377 | |
Dr. Dennis Lane Palm, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 97 San Marin Dr, Novato, CA 94945 Phone: 415-899-7559 Fax: 415-899-7513 | |
Christina Chun, O.d., Incorporated Optometrist Medicare: Not Enrolled in Medicare Practice Location: 300 Vintage Way, Novato, CA 94945 Phone: 415-898-5591 |