Marketplace Optical LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MARKETPLACE OPTICAL LLC

Practice address

1495 E Tucson Marketplace Blvd Ste 161
Tucson, AZ 85713-0047

Phone

(520) 221-4373

Fax

(520) 200-5769

NPI assigned

Aug 1, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Arjun Patel, ODNPI 1538703541

Title

Sole Member

Phone

(480) 980-3873

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

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

• Arjun Patel, OD

  • Optometrist
  • Tucson, AZ
  • NPI 1538703541
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708560000000",
    "number": "1215619283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1495 E. TUCSON MARKETPLACE BLVD",
            "address_2": "STE 161",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857130047",
            "telephone_number": "480-980-3873",
            "fax_number": "520-200-5769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 E TUCSON MARKETPLACE BLVD STE 161",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857130047",
            "telephone_number": "520-221-4373",
            "fax_number": "520-200-5769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARKETPLACE OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-01",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ARJUN",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "480-980-3873",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark C Senese MD PC
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• Mark Ira Feldman, M D P C
• Mark Maklin DMD
• Mark Youth and Family Care Campus Inc.
• Melissa Markle
• Melissa Sue Markley, MSC
• Sally Katharine White Markley, LPC
• Arlene Marko, AU.D.
• Susan Dale Markovich, R.N., M.S.N.

• Optometrist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.