Phillip Maroudis OD PSC & John Morton PTR

Primary specialty

OptometristTaxonomy code 152W00000X

License

900379 Issued in KY

Legal business name

PHILLIP MAROUDIS OD PSC & JOHN MORTON PTR

Practice address

1201 13TH St
Ashland, KY 41101-2607

Phone

(606) 329-1404

Fax

(606) 325-7446

NPI assigned

Jan 11, 2007

Last updated

Jul 7, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Phillip Maroudis, O.D.,P.S.C.

Title

Optometrist

Phone

(606) 329-1404

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Socrates Maroudis OD PSC

  • Optometrist
  • Ashland, KY
  • NPI 1760612360

  Member Of

  NPD member

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309996800000",
    "number": "1255481669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 13TH ST",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012607",
            "telephone_number": "606-329-1404",
            "fax_number": "606-325-7446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 13TH ST",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012607",
            "telephone_number": "606-329-1404",
            "fax_number": "606-325-7446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIP MAROUDIS OD PSC & JOHN MORTON PTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2011-07-07",
        "status": "A",
        "authorized_official_last_name": "MAROUDIS",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "606-329-1404",
        "authorized_official_credential": "O.D.,P.S.C."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "900379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonya M Perry, BA
• Judith Terry Petrella, MD
• Melody Pewitt, LPCC
• Joshua Aaron Phelps, MD
• Lisa J Phelps, LSW
• Phillip Maroudis, O.D., P.S.C.
• Ashton Noel Phillips, LPCC
• Katherine Phillips
• Maegan Phillips
• Phoenix & Oak Wellness LLC

• Optometrist in Ashland, KY
• Providers in Ashland, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; 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.