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

Marissa Brooke Wall, OD

Individual provider Optometrist · NPI 1265915615

Marissa Brooke Wall, OD is an Optometry in Modesto, California. Qualified in 2018, 8 years ago. Practices with Valley View Optometry, a 2-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2018
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

1011 Sylvan Ave
Modesto, CA 95350-1692
Phone: (209) 575-2020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPT34197 (CA)

Record details

NPI number1265915615
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedSeptember 12, 2018
Last updated in NPPESDecember 22, 2021
Certification dateDecember 22, 2021

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Valley View Optometry — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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