Louis John Marino, OCULARIST OCULAR PRO

Primary specialty

OcularistTaxonomy code 156FX1700X

License

0315275000 Issued in CT

Practice address

204 N Colony St
Wallingford, CT 06492-3656

Phone

(203) 284-3737

Fax

(203) 284-1300

NPI assigned

Mar 22, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Marino Ocular Prosthetics LLC

  • Durable Medical Equipment & Medical Supplies
  • Wallingford, CT
  • NPI 1073884409

  Ocularist

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023134665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 N COLONY ST",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064923656",
            "telephone_number": "203-284-3737",
            "fax_number": "203-284-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 N COLONY ST",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064923656",
            "telephone_number": "203-284-3737",
            "fax_number": "203-284-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINO",
        "first_name": "LOUIS",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "OCULARIST OCULAR PRO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1700X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Ocularist",
            "state": "CT",
            "license": "0315275000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS AND BLU",
            "identifier": "12DME0303CT01",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004092201",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronald Nathaniel Marcus, MD
• Lakesha R Margaglione, MASTERS
• Donna L Mariano, APRN
• Marino Ocular Prosthetics LLC
• John Marino, MD
• Patricia Marr
• Kurt James Marschner, D.C.
• Patricia C. Martick, P.T.
• Jenny D Martin, LMSW
• Laura M Martineau, OTR

• Technician/Technologist in Wallingford, CT
• Providers in Wallingford, CT by specialty
• Technician/Technologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.