Marron, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618000457 Issued in VA

Legal business name

MARRON, INC.

Practice address

49 Morton Ave
Petersburg, VA 23805-2751

Phone

(804) 732-2020

Fax

(804) 732-0470

NPI assigned

Apr 12, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Dorothy Vernell Freeman, OD

Title

Optometrist/Owner/President

Phone

(804) 732-2020

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1207958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355443200000",
    "number": "1184897993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 MORTON AVE",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238052751",
            "telephone_number": "804-732-2020",
            "fax_number": "804-732-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 MORTON AVE",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238052751",
            "telephone_number": "804-732-2020",
            "fax_number": "804-732-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARRON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-12",
        "last_updated": "2012-12-14",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "VERNELL",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER/PRESIDENT",
        "authorized_official_telephone_number": "804-732-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000457",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "VA",
            "license": "0618000457",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "VA009230548",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Quanisha Mallette
• Denise Bartizal Malone, PSYD, BCBA
• Seth Ntem Manu
• Naygil Marquez
• Erika Marrer, LPC
• Tiffany Vincent Marshall, PHARMD
• Cynthia Morgan Marstin, MS CCC-SLP
• Martha a. Griswold MD PC
• Rachel Erin Martin-Benson, MS, RN, PMHNP-BC
• Claire Martin

• Optometrist in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2012; 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.