KIDISTI GHEBRE MARIAM (OD) – Optometrist, NPI 1477508331

KIDISTI GHEBRE MARIAM (OD) is a healthcare provider. based in Pleasant hill, California. specializing in Optometrist. They hold the professional credentials OD. They hold a License No. 11703T (CA). The NPI Number for KIDISTI GHEBRE MARIAM (OD) is 1477508331

Main info

Female
Name
KIDISTI GHEBRE MARIAM (OD)
NPI
1477508331
Phone
(925) 228-2585
Address
533 RIDGEVIEW CT
Enumeration Date
22 May 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for KIDISTI GHEBRE MARIAM (OD)

  • 533, Ridgeview Court, Ridgeview, Pleasant Hill, Contra Costa County, California, 94523, United States

    PLEASANT HILL, CA 945231023

    Phone: (925) 228-2585

    Type: Mailing

  • Costco, 2201, Verne Roberts Circle, Antioch, Contra Costa County, California, 94509, United States

    ANTIOCH, CA 945097911

    Phone: (925) 757-1183

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $87.

Total Amount is formed as General ($87) + Research ($0) + Ownership ($0) = $87.

Last reported payment date: 2024-07-08 • Largest payer in this snapshot: Alcon Vision LLC ($54).

Total Amount

$87

General + Research + Ownership

Payments

5

Total payment records

General Amount

$87

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-08

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 94523)

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Reviews

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Frequently asked questions

Is there an official ID for KIDISTI GHEBRE MARIAM (OD) in U.S. healthcare records?
The official identifier for KIDISTI GHEBRE MARIAM (OD) is NPI 1477508331.
Active or inactive — what applies to KIDISTI GHEBRE MARIAM (OD)?
You should see KIDISTI GHEBRE MARIAM (OD) as active in CMS-hosted NPPES data.
What kind of doctor is KIDISTI GHEBRE MARIAM (OD)?
KIDISTI GHEBRE MARIAM (OD) is associated with Optometrist in the directory — Clinical services aligned with this taxonomy classification.
Where in California is KIDISTI GHEBRE MARIAM (OD) registered?
Use Pleasant Hill, California as the headline location for KIDISTI GHEBRE MARIAM (OD) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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