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 11 November, 2024.
Comments/ Reviews:
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