MARYANNE MARCOLIVIO O.D.
NPI 1174685564
Optometrist in Fullerton, CA
About Maryanne Marcolivio O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARYANNE MARCOLIVIO O.D. (NPI 1174685564) is an individual optometrist in Fullerton, California, licensed in California (OPT 9576 TPA) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1985).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Maryanne Marcolivio O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Maryanne Marcolivio reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fullerton, CA 92835
- Reassigned Medicare billing, California enrollment
- 4 clinicians in this Medicare group
San Diego, CA 92128
- Reassigned Medicare billing, California enrollment
- 236 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92835 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FULLERTON, CA 92835
FULLERTON, CA 92835
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Maryanne Marcolivio's NPI number?
The NPI number for Maryanne Marcolivio is 1174685564. It was assigned to this individual provider in the NPPES registry on December 14, 2006.
Where is Maryanne Marcolivio located?
Maryanne Marcolivio practices at 270 Laguna Rd Suite 100, Fullerton, CA 92835. The listed phone number is (714) 525-2375.
What is Maryanne Marcolivio's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Maryanne Marcolivio enrolled in Medicare?
Yes. Maryanne Marcolivio is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Maryanne Marcolivio's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Maryanne Marcolivio reassigns Medicare benefits to 2 organizations: Brilliant Eye Center (Fullerton, CA) and Total Vision PC (San Diego, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Maryanne Marcolivio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Maryanne Marcolivio accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Maryanne Marcolivio as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Maryanne Marcolivio was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Maryanne Marcolivio, O.D. · NPI 1174685564
Optometrist provider in Fullerton, California. Individual provider, active in the CMS NPPES registry since December 14, 2006.
## Identity
- **NPI:** 1174685564 (Entity type: Individual)
- **Enumerated:** December 14, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** OPT 9576 TPA (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 270 LAGUNA RD, SUITE 100, Fullerton, CA 92835-2521
- **Phone:** (714) 525-2375 · **Fax:** (714) 871-9280
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Brilliant Eye Center (NPI 1154440204, Fullerton, CA); Total Vision PC (NPI 1356813711, San Diego, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1985
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare UPIN U78453 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1174685564) · Data from the CMS NPPES public registry.