Individual provider Active NPI

Gregory William Marshall, O.D.

  • Optometrist
  • Lexington, KY
National Provider Identifier
1144377201
Registry record updated Dec 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1381DT Issued in KY
Practice address
2350 Grey Lag Way
Lexington, KY 40509-2477
Phone
(859) 263-2020
Fax
(859) 263-0837
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1381DT KY Primary

Addresses

Primary practice location

2350 Grey Lag Way
Lexington, KY 40509-2477

Mailing address

3113 Weymouth CT
Lexington, KY 40509-2377
Phone (859) 263-0912

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080423000486 KY Practitioner - Optometry 7416044698 Receives reassigned benefits from 2 practitioners
Practice locations: Paris, KY; Lexington, KY; Cynthiana, KY

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2350 Grey Lag Way
Lexington, KY 40509-2477
Phone (859) 263-2020

305 Letton Dr
Paris, KY 40361-2252
Phone (859) 987-6664

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1381DTKYMDOptometrist
1381KYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Counseling Center of Atlanta, LLC PastSince Jun 24, 2008 Accepting new patients

Practitioners & affiliated clinicians

Practitioners 2

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1144377201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3113 WEYMOUTH CT",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092377",
            "telephone_number": "859-263-0912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 GREY LAG WAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092477",
            "telephone_number": "859-263-2020",
            "fax_number": "859-263-0837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "GREGORY",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1381DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.