Active NPI
Amy M Marnecheck, O.D.
- Optometrist
- Belfast, ME
National Provider Identifier
1104911908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT795
- Practice address
- 91 Waldo Avenue
Belfast, ME 04915 - Phone
- (207) 338-1480
- Fax
- (207) 338-1498
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- 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 | OPT795 | ME | Primary |
Addresses
Primary practice location
91 Waldo Avenue
Belfast, ME 04915
Mailing address
PO Box 209
Belfast, ME 04915-0209
Phone (207) 338-1480
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MM7987 | Other | ME | PTAN# |
| 308220099 | Medicaid | ME |
Other names 1
- Dr. Amy M Marnecheck
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- 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 Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1992
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
91 Waldo Ave
Belfast, ME 04915-6615
Phone (207) 338-1480
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seebreeze Family Eyecare, P.a. | Optometrist | Current | Accepting new patients |
Locations
91 Waldo Ave
Waldo, ME 04915
Phone (207) 338-1480
Organizations & group practices 1
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.
-
- Optometrist
- Belfast, ME
- NPI 1700212966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407974400000",
"number": "1104911908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 209",
"city": "BELFAST",
"state": "ME",
"postal_code": "049150209",
"telephone_number": "207-338-1480",
"fax_number": "207-338-1498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91 WALDO AVENUE",
"city": "BELFAST",
"state": "ME",
"postal_code": "04915",
"telephone_number": "207-338-1480",
"fax_number": "207-338-1498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARNECHECK",
"first_name": "AMY",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2014-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "ME",
"license": "OPT795",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN#",
"identifier": "MM7987",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "308220099",
"state": "ME"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "MARNECHECK",
"middle_name": "M",
"prefix": "DR.",
"credential": "O.,D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Belfast, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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.