Provider Demographics
NPI:1518081579
Name:JOSEPH J MARCHIONNA OD AND MICHAEL DELAPENA OD A POC
Entity Type:Organization
Organization Name:JOSEPH J MARCHIONNA OD AND MICHAEL DELAPENA OD A POC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:J
Authorized Official - Last Name:MARCHIONNA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:831-758-3331
Mailing Address - Street 1:419 E ROMIE LN
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-4016
Mailing Address - Country:US
Mailing Address - Phone:831-758-2850
Mailing Address - Fax:
Practice Address - Street 1:419 E ROMIE LN
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-4016
Practice Address - Country:US
Practice Address - Phone:831-758-2850
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2012-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACP5084OtherRAILROAD MEDICARE PIN
CACP5084OtherRAILROAD MEDICARE PIN
CABU100AMedicare PIN