Provider Demographics
NPI:1952483836
Name:MARCHIONNA, JOSEPH JAMES (OD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:JAMES
Last Name:MARCHIONNA
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:419 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:831-758-3331
Mailing Address - Fax:831-758-2850
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:831-758-3331
Practice Address - Fax:831-758-2850
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2009-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8636T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
BV137ZMedicare PIN
T98054Medicare UPIN