Dr. Mark Shigeo Komure is a Stockton, California based male Optometrist with 46 years of experience in Optometry. He completed his graduation from Southern California College Of Optometry in 1978. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Mark Shigeo Komure is 6480T for Optometry in California.
Dr. Mark Shigeo Komure examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Mark Shigeo Komure speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Optometry |
| Credentials: | O.D. |
| Experience: | 46+ years |
| Medical School Attended: | Southern California College Of Optometry |
| Graduation Year: | 1978 |
| Gender: | Male |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 2087 Grand Canal Blvd Ste 15, Stockton,
California, 95207-6651 |
| Phone: | 209-477-0296 |
| Fax: | 209-478-7322 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 2567572126 |
| Enrollment ID: | I20120710000156 |
| NPI Number: | 1689707713 |
| NPI Enumeration Date: | 14 Mar, 2007 |
| NPI Last Update On: | 02 Oct, 2009 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Mark Shigeo Komure are as mentioned below.
| License Number | Specialization | State | Status | |
| 6480T | Optometry | California | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Mark Shigeo Komure such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1930714 | Medicaid | California | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2087 Grand Canal Blvd Ste 15,
Stockton, California |
| Zip: | 95207-6651 |
| Phone Number: | 209-477-0296 |
| Fax Number: | 209-478-7322 |
Patients can reach Dr. Mark Shigeo Komure at
2087 Grand Canal Blvd Ste 15, Stockton, California or can
call to book an appointment on 209-477-0296. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.