Provider Demographics
NPI:1467575993
Name:HOENIG, MARIANNE PIA (OD, MA, FAAO)
Entity Type:Individual
Prefix:DR
First Name:MARIANNE
Middle Name:PIA
Last Name:HOENIG
Suffix:
Gender:F
Credentials:OD, MA, FAAO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2777 YULUPA AVE
Mailing Address - Street 2:222
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95405-8584
Mailing Address - Country:US
Mailing Address - Phone:707-542-7146
Mailing Address - Fax:707-542-3810
Practice Address - Street 1:BINOCULAR VISION CLINIC SCHOOL OF OPTOMETRY
Practice Address - Street 2:UNIVERSITY OF CALIFORNIA BERKELEY
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94720-2020
Practice Address - Country:US
Practice Address - Phone:510-642-2020
Practice Address - Fax:707-542-3810
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2015-01-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA9262152WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WP0200XEye and Vision Services ProvidersOptometristPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASD0092620Medicaid
CASD0092620Medicaid
CASD0092620Medicare ID - Type Unspecified