Provider Demographics
NPI:1013992049
Name:RIPTON, MARIANNE JOY (OD)
Entity Type:Individual
Prefix:DR
First Name:MARIANNE
Middle Name:JOY
Last Name:RIPTON
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4644 E CARMEN ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85044-5503
Mailing Address - Country:US
Mailing Address - Phone:602-494-7336
Mailing Address - Fax:602-494-0416
Practice Address - Street 1:4550 E CACTUS RD STE 240
Practice Address - Street 2:LENSCRAFTERS OPTIQUE
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-7791
Practice Address - Country:US
Practice Address - Phone:602-494-7336
Practice Address - Fax:602-494-0416
Is Sole Proprietor?:No
Enumeration Date:2005-12-13
Last Update Date:2013-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAZ849152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZU52027Medicare UPIN