Brandon Marshall

Primary specialty

OptometristTaxonomy code 152W00000X

License

2018 Issued in SC

Practice address

459 Spruce St
Walterboro, SC 29488

Phone

(843) 549-9500

Fax

(843) 549-6885

NPI assigned

Sep 26, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528934400000",
    "number": "1154830743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2861 TRICOM ST",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069172",
            "telephone_number": "843-725-0064",
            "fax_number": "843-569-7885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 SPRUCE ST",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "29488",
            "telephone_number": "843-549-9500",
            "fax_number": "843-549-6885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "595 W Carolina Ave",
            "address_purpose": "LOCATION",
            "city": "Varnville",
            "state": "SC",
            "postal_code": "299444735",
            "country_code": "US",
            "telephone_number": "843-549-9500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "BRANDON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-26",
        "last_updated": "2018-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "2018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D20181",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Travone Jemall Lumsden, PHARMD
• Caleb Joseph Lusk
• Amanda K Lyons, B.S.
• Kameaka Latrice Mack-Garvin, PHARMD
• Brandy N Manigo, RN
• Betsy Anne Martin, PA
• Christina Bashnan Martin, N.P.
• Joshua Benjamin Massey, D.D.S.
• Krista Linnea Massey, D.C.
• Sarah Mastrorocco, OD

• Optometrist in Walterboro, SC
• Providers in Walterboro, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.