Marilyn'S Optical

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

081682 Issued in OK

Legal business name

MARILYN'S OPTICAL

Practice address

20242 Stick Ross Mountain Rd
Tahlequah, OK 74464-7374

Phone

(918) 456-1133

NPI assigned

Mar 5, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Marilyn Marie HendricksonNPI 1750407391

Title

Owner

Phone

(918) 456-1133

Specialties & licenses 1

Addresses

Other names 1

• None Doing business as

Practitioners 1

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

• Marilyn Marie Hendrickson

  • Optician
  • Tahlequah, OK
  • NPI 1750407391
  NPD (past) Authorized official

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1194995100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20242 STICK ROSS MOUNTAIN RD",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744647374",
            "telephone_number": "918-456-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20242 STICK ROSS MOUNTAIN RD",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744647374",
            "telephone_number": "918-456-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARILYN'S OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "HENDRICKSON",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-456-1133",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OK",
            "license": "081682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "None",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Whitney Malott
• Terrah Lynn Manes, LCSW
• Naif Nasiruddin Mansury
• Jacqueline Manus, OTR/L
• Kelly Marak, D.O., M.S.
• David Ryan Markes, DO
• Cassidy Leigh Marsh, PHARMD
• Lindsey Renae Marshall, PHARM. D.
• Kathryn Nicole Martin, APRN-CNM
• Kippy Glynn Martin, DDS

• Durable Medical Equipment & Medical Supplies in Tahlequah, OK
• Providers in Tahlequah, OK by specialty
• Durable Medical Equipment & Medical Supplies in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.