Active NPI
Paul Emmet Marvin, OD
- Optometrist
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1322
- Practice address
- 135 S Sharon Amity Rd
Suite 100
Charlotte, NC 28211-2842 - Phone
- (704) 365-0555
- Fax
- (704) 367-8124
- NPI assigned
- Oct 26, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1322 | NC | Primary |
Addresses
Primary practice location
135 S Sharon Amity Rd
Suite 100
Charlotte, NC 28211-2842
Mailing address
PO Box 60160
Charlotte, NC 28260-0160
Phone (704) 365-0555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 90.77 of 100
- Quality
- 93.64
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.59
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizon Eye Care, PA | Optometrist | Current | Accepting new patients |
| Horizon Eye Care PA | Optometrist | Past | Accepting new patients |
| Horizon Eye Care PA | Optometrist | Past | Accepting new patients |
Locations
11835 Southmore Dr
Charlotte, NC 28277
Phone (704) 341-3220
11010 David Taylor Dr
Charlotte, NC 28262
Phone (704) 717-0058
135 S Sharon Amity Rd
Ste 100
Charlotte, NC 28211
Phone (704) 365-0555
15419 Hodges Cir
Ste 100
Huntersville, NC 28078
Phone (704) 892-1000
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648684800000",
"number": "1013907492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60160",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600160",
"telephone_number": "704-365-0555",
"fax_number": "704-367-8122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 S SHARON AMITY RD",
"address_2": "SUITE 100",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282112842",
"telephone_number": "704-365-0555",
"fax_number": "704-367-8124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARVIN",
"first_name": "PAUL",
"middle_name": "EMMET",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-26",
"last_updated": "2022-03-31",
"certification_date": "2022-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "1322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.