# MARIN OPHTHALMIC GALLARY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Marin Ophthalmic Consultants
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063587202
- **Authorized official:** DR. JOHN CAMPBELL MD (DOCTOR)
- **Authorized official phone:** (415) 454-5586

## Contact information

- **Practice address:** 901 E ST STE 285, SAN RAFAEL, CA 94901-2850
- **Practice address phone:** (415) 460-6263
- **Mailing address:** 901 E ST STE 285, SAN RAFAEL, CA 94901-2850
- **Mailing address phone:** (415) 460-6263

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 1190640001 | CA | Yes |

## Other

- **Enumeration date:** 11/22/2006
- **Last updated:** 08/22/2020
