Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MARQUES JOSEPH BOSTIC O.D
NPI 1265753404
Optometrist in Petaluma, CA

Q: What is Marques Bostic's NPI number?

The NPI number for Marques Bostic is 1265753404. It was assigned to this individual provider in the NPPES registry on June 22, 2010.

Q: What is Marques Bostic's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Marques Bostic was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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.

Active since June 22, 2010PECOS EnrolledAccepts Medicare Assignment

1179 N MCDOWELL BLVD, PETALUMA, CA 94954(707) 559-7500(707) 559-7707 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 4, 2022, Nov 17, 2020 (2 updates tracked since 2020).

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About Dr. Marques Joseph Bostic O.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARQUES JOSEPH BOSTIC O.D (NPI 1265753404) is an individual optometrist in Petaluma, California, licensed in California (34454TLG) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, maintains a secondary practice location in Porterville, and is a graduate of State University Of New York - State College Optometry (2009).

NPPES Registry Identity

NPI1265753404

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. MARQUES JOSEPH BOSTICCredential: O.D

Location Address1179 N MCDOWELL BLVDPetaluma, CA 94954-6559

Mailing Address1179 N Mcdowell BlvdPetaluma, CA 94954-6559 · (707) 559-7500 · Fax (707) 559-7707

Phone(707) 559-7500

Fax(707) 559-7707

Sole ProprietorYes

Medical School CMSState University Of New York - State College OptometryGraduated 2009

Enumeration DateJune 22, 2010

Last NPPES UpdateJuly 1, 20262 updates tracked since enumeration

NPPES CertifiedJuly 1, 2026

✔ NPI 1265753404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Licenses✔ Licensed in CA · 34454TLG✔ Licensed in ME · OPT910✔ Licensed in OR · AT4823✔ Licensed in AZ · OPT-002961✔ Licensed in HI · OD1060

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists 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. An optometrist has 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. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

1179 N MCDOWELL BLVD, Petaluma, CA 94954

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Secondary Practice Location 1

Location 165 N Hockett StPorterville, CA 93257 · Phone (559) 639-6300

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Marques Joseph Bostic 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.

PECOS PAC ID3779768742

PECOS Enrollment IDI20260526003372

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94954 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$142.00 typical visit price

range $63.04 – $187.01

Typical copayment $35.50 (range $15.76 – $46.75)

Most-billed visit code 99204

Established Patient

$77.94 typical visit price

range $21.02 – $153.40

Typical copayment $19.48 (range $5.25 – $38.35)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REBECCA KATZ FINNEMORE MD

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