Active NPI
Marvin L Pflaumer, OD
- Optometrist
- New Carlisle, OH
National Provider Identifier
1235274176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2835T598
- Practice address
- 201 N Church St
New Carlisle, OH 45344-1848 - Phone
- (937) 845-9444
- Fax
- (937) 845-1151
- NPI assigned
- Feb 20, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2835T598 | OH | Primary |
Addresses
Primary practice location
201 N Church St
New Carlisle, OH 45344-1848
Mailing address
201 N Church St
P O Box 417
New Carlisle, OH 45344-1848
Phone (937) 845-9444
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2220143 | Other | OH | UNITED HEALTHCARE |
| 311584763028 | Other | OH | CARESOURCE |
| 74386 | Other | OH | MOLINA |
| 0092411 | Medicaid | OH | |
| 000000022407 | Other | OH | ANTHEM |
| 4638481 | Other | OH | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2835T598 | OH | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213574400000",
"number": "1235274176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 N CHURCH ST",
"address_2": "P O BOX 417",
"city": "NEW CARLISLE",
"state": "OH",
"postal_code": "453441848",
"telephone_number": "937-845-9444",
"fax_number": "937-845-1151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 N CHURCH ST",
"city": "NEW CARLISLE",
"state": "OH",
"postal_code": "453441848",
"telephone_number": "937-845-9444",
"fax_number": "937-845-1151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PFLAUMER",
"first_name": "MARVIN",
"middle_name": "L",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-20",
"last_updated": "2008-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "2835T598",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2220143",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE",
"identifier": "311584763028",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA",
"identifier": "74386",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0092411",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000022407",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4638481",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Carlisle, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.