Provider Demographics
NPI:1659669489
Name:ROCCHI, MARINA LUCILLE (OD)
Entity Type:Individual
Prefix:
First Name:MARINA
Middle Name:LUCILLE
Last Name:ROCCHI
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3401 ESPLANADE
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95973-0207
Mailing Address - Country:US
Mailing Address - Phone:530-895-1727
Mailing Address - Fax:530-895-1506
Practice Address - Street 1:3401 ESPLANADE
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95973-0207
Practice Address - Country:US
Practice Address - Phone:530-895-1727
Practice Address - Fax:530-895-1506
Is Sole Proprietor?:No
Enumeration Date:2011-07-13
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14245152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist