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NPI Code Detail

MEDICARE: MARCIA J PALMER O.D.

MEDICARE:   MARCIA J PALMER  O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometristOH5293OH
2152W00000XOptometrist13228TCA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548283203
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARCIA J PALMER O.D.
Provider Business Mailing Address
First Line : 801 N EL CAMINO REAL
Second Line : #303
City : SAN MATEO
State : CA
Zip : 94401-3738
Country : US
Telephone Number : 650-685-6303
Fax Number :
Provider Business Practice Location Address
First Line : 801 N EL CAMINO REAL
Second Line : #303
City : SAN MATEO
State : CA
Zip : 94401-3738
Country : US
Telephone Number : 650-685-6303
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2006
Last Update Date : 08/28/2007

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Directions to “ MARCIA J PALMER O.D.” Practice Location

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