Active NPI
Marianne Anderson, O.D.
- Optometrist
- Mansfield, TX
National Provider Identifier
1083742159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2914
- Practice address
- 951 N Walnut Creek Dr
Suite a
Mansfield, TX 76063-8025 - Phone
- (817) 473-2850
- Fax
- (817) 473-9771
- NPI assigned
- Mar 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 2914 | TX | Primary |
Addresses
Primary practice location
951 N Walnut Creek Dr
Suite a
Mansfield, TX 76063-8025
Mailing address
951 N Walnut Creek Dr
Suite a
Mansfield, TX 76063-8025
Phone (817) 473-2850
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2914 | TX | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1083742159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "951 N WALNUT CREEK DR",
"address_2": "SUITE A",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760638025",
"telephone_number": "817-473-2850",
"fax_number": "817-473-9771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "951 N WALNUT CREEK DR",
"address_2": "SUITE A",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760638025",
"telephone_number": "817-473-2850",
"fax_number": "817-473-9771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "MARIANNE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-01",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "2914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mansfield, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.