Marino Ocular Prosthetics LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

48341408 Issued in CT

Legal business name

MARINO OCULAR PROSTHETICS LLC

Practice address

204 N Colony St
Wallingford, CT 06492-3656

Phone

(203) 284-3737

Fax

(203) 284-1300

NPI assigned

Jan 17, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Louis Marino, OCULARISTNPI 1023134665

Title

Owner

Phone

(203) 284-3737

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Louis John Marino, OCULARIST OCULAR PRO

  • Ocularist
  • Wallingford, CT
  • NPI 1023134665
  NPD Authorized official

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

{
    "created_epoch": "1326758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331078400000",
    "number": "1073884409",
    "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": {
        "organization_name": "MARINO OCULAR PROSTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-17",
        "last_updated": "2012-03-07",
        "status": "A",
        "authorized_official_last_name": "MARINO",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-284-3737",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OCULARIST"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CT",
            "license": "48341408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "6623790001",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mansoor Anwer MD LLC
• Justin Marceau, PT
• Ronald Nathaniel Marcus, MD
• Lakesha R Margaglione, MASTERS
• Donna L Mariano, APRN
• John Marino, MD
• Louis John Marino, OCULARIST OCULAR PRO
• Patricia Marr
• Kurt James Marschner, D.C.
• Patricia C. Martick, P.T.

• Durable Medical Equipment & Medical Supplies in Wallingford, CT
• Providers in Wallingford, CT by specialty
• Durable Medical Equipment & Medical Supplies in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.