Marilynn Acker Ezell, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

NH0372 Issued in NH

Practice address

121 Main Street
Jaffrey, NH 03452-6140

Phone

(603) 532-8835

Fax

(603) 532-7045

NPI assigned

Feb 15, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Marilynn Acker Professional name

Medicare fee-for-service enrollment

Enrolled in NH

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

Specialty

Optometry

Education

New England College of Optometry, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Jaffrey Eye Care

  • Optometrist
  • Jaffrey, NH
  • NPI 1861351587
  NPD (past)

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417996800000",
    "number": "1194799379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 MAIN STREET",
            "city": "JAFFREY",
            "state": "NH",
            "postal_code": "034526140",
            "telephone_number": "603-532-8835",
            "fax_number": "603-532-7045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 MAIN STREET",
            "city": "JAFFREY",
            "state": "NH",
            "postal_code": "034526140",
            "telephone_number": "603-532-8835",
            "fax_number": "603-532-7045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACKER EZELL",
        "first_name": "MARILYNN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2014-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "0372",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "NH0372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30351489",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARILYNN",
            "last_name": "ACKER",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Titilope A Adeosun, RPH
• Dino Atikovic, M.S., CCC-SLP
• Maeve Debra Bennett, NP
• Linda Bergeron
• Janet Bois

• Optometrist in Jaffrey, NH
• Providers in Jaffrey, NH by specialty
• Optometrist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.

Verify at the official NPI Registry.