Provider Demographics
NPI:1659825149
Name:SCHAIN, MARCUS ROBERT JR (RDO)
Entity Type:Individual
Prefix:MR
First Name:MARCUS
Middle Name:ROBERT
Last Name:SCHAIN
Suffix:JR
Gender:M
Credentials:RDO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4810 E 2ND ST
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90803-5312
Mailing Address - Country:US
Mailing Address - Phone:562-595-2887
Mailing Address - Fax:
Practice Address - Street 1:4810 E 2ND ST
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90803-5312
Practice Address - Country:US
Practice Address - Phone:562-595-2887
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-12
Last Update Date:2016-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASL5811156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician