Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mark Shigeo Komure, OD

Individual provider Optometrist · NPI 1689707713

Dr. Mark Shigeo Komure, OD is an Optometry in Stockton, California. Graduated from Southern California College of Optometry in 1978, 48 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
48
Trained at
Southern California College of Optometry
Licensed in
CA
In the registry since
2007
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

2087 Grand Canal Blvd Ste 15
Stockton, CA 95207-6651
Phone: (209) 477-0296
Fax: (209) 478-7322
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 6480T (CA)

Record details

NPI number1689707713
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedMarch 14, 2007
Last updated in NPPESOctober 2, 2009
Mailing address2087 Grand Canal Blvd Ste 15, Stockton, CA 95207-6651

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduated 1978 (48 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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