Roney Chaluparambil Marcos, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

8118T Issued in TX

Practice address

721 Boyd Rd
Azle, TX 76020

Phone

(817) 270-2020

NPI assigned

Jan 2, 2014

Last updated

Jan 2, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 2020 Eyedr

  dba Southlake Eyes Now

  • Optometrist
  • Southlake, TX
  • NPI 1942754700
  Medicare reassignment
• Joy Eye Care, P.L.L.C.

  dba Joy Family Eye Care

  • Optometrist
  • Azle, TX
  • NPI 1861641326
  NPD (past)

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

{
    "created_epoch": "1388620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388620800000",
    "number": "1245651645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2904 RIVERPLACE DR.",
            "address_2": "APT 2091",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 BOYD RD",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "76020",
            "telephone_number": "817-270-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHALUPARAMBIL MARCOS",
        "first_name": "RONEY",
        "name_prefix": "Ms.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-02",
        "last_updated": "2014-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8118T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corrie L Bush
• Virginia Butschek, B.S. PH
• Lauren Kathleen Calloway, COTA
• Angela Cavender, COTA
• Certified Dementia Specialist, LLC (Dementia Specialist Home Care)
• William Melvin Chambers Jr., D.O
• Cynthia Dianne Chamness, LVN
• So Yeon Chung
• City of Azle (Azle Fire Department)
• Brittany Collins, LCSW

• Optometrist in Azle, TX
• Providers in Azle, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.