Marc L Austhof OD Eye Care Services PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003842 Issued in MI

Legal business name

MARC L AUSTHOF OD EYE CARE SERVICES PLLC

Practice address

2640 Crossing Cir
Traverse City, MI 49684-7930

Phone

(231) 933-7195

Fax

(231) 933-7197

NPI assigned

Jul 11, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Marc Louis Austhof, O.D.NPI 1730292210

Title

President

Phone

(231) 933-7195

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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

• Marc Austhof, OD

  • Optometrist
  • Traverse City, MI
  • NPI 1730292210
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434931200000",
    "number": "1093979742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 CROSSING CIR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847930",
            "telephone_number": "231-933-7195",
            "fax_number": "231-933-7197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 CROSSING CIR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847930",
            "telephone_number": "231-933-7195",
            "fax_number": "231-933-7197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC L AUSTHOF OD EYE CARE SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-11",
        "last_updated": "2015-06-22",
        "status": "A",
        "authorized_official_last_name": "AUSTHOF",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-933-7195",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lovell Tracy Manning
• Kimberly Manrique, M.S, L.P.C., A.T.R
• Jason Luke Mantey, DDS
• Manton Health Center PLLC
• Maple Clinic, Inc.
• Nathan E March, D.O.
• Leah Marcotte
• Melissa Marek
• Adrienne L Maresca, PA-C
• Margaret Grivas Clinical Social Work, PLLC

• Optometrist in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.