Cajetan Cornel Marxer, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1988TX Issued in WA

Practice address

200 N Mullan Rd Ste 118
Spokane Valley, WA 99206-6827

Phone

(509) 921-5706

Fax

(509) 921-5706

NPI assigned

May 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• C Cornel Marxer Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260748800000",
    "number": "1245281070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N MULLAN RD STE 118",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992066827",
            "telephone_number": "509-921-5706",
            "fax_number": "509-921-5706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N MULLAN RD STE 118",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992066827",
            "telephone_number": "509-921-5706",
            "fax_number": "509-921-5706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARXER",
        "first_name": "CAJETAN",
        "middle_name": "CORNEL",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2009-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "1988TX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2020485",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "C",
            "last_name": "MARXER",
            "middle_name": "CORNEL",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Robin Linetta Martin, PA-C
• Haley Renea Martineau, CDPT
• Ling Itzel Martinez Jeronimo
• Aster Martinez
• Katrina Amelia Martinez
• Mary E Bachko, Arnp, PLLC
• Alfonso Villas Masangkay, MD
• Jose Domingo Masi, MD
• David Mason
• Drew Mason, DPT

• Optometrist in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; 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.