Marvin Optometry-Missouri, P.C.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

MARVIN OPTOMETRY-MISSOURI, P.C.

Practice address

1405 S Hanley Rd Ste B
Saint Louis, MO 63144-2902

Phone

(314) 703-9048

NPI assigned

Jul 31, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Ashley Marvin, OD

Title

Optometrist/Owner

Phone

(618) 514-5268

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609891200000",
    "number": "1154931517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 S HANLEY RD STE B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631442902",
            "telephone_number": "314-652-3922",
            "fax_number": "314-207-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 S HANLEY RD STE B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631442902",
            "telephone_number": "314-703-9048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARVIN OPTOMETRY-MISSOURI, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-31",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A",
        "authorized_official_last_name": "MARVIN",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "618-514-5268",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethanne Martone, MSW, LCSW
• George Martz
• Suganya Marudhai, MD
• Gabrielle Marushack
• Gina Marusic, M.D.
• Samuel Joel Marwit, PH.D.
• Jeffrey J. Marx, MA
• Mary Ann Cheng MD LLC
• Mary E Harper
• Mary J'S Home Health Services LLC

• Health Service Clinic/Center in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Health Service Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.