Active NPI
Marleen Marino, O.D.
- Optometrist
- Huntington Station, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- VUT005561
- Practice address
- 160 Route 110 # a
Huntington Station, NY 11746-4130 - Phone
- (631) 351-5355
- NPI assigned
- Oct 12, 2007
- Last updated
- Oct 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | VUT005561 | NY | Primary |
Addresses
Primary practice location
160 Route 110 # a
Huntington Station, NY 11746-4130
Mailing address
14 Sarah Anne CT
Miller Place, NY 11764-2332
Phone (631) 828-4516
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VUT005561 | NY | MD | Optometrist |
| 005561 | NY | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empire Vision Center, Inc | Current | Accepting new patients | |
| Empire Vision Center Inc | Optometrist | Current | Accepting new patients |
| Bayside Vision Corp | Optometrist | Past | Accepting new patients |
| Danet Optical LTD | Optometrist | Past | Accepting new patients |
Locations
2680 Delaware Ave
Ste C
Buffalo, NY 14216
Phone (716) 873-1241
560 Troy Schenectady Rd
#7
Latham, NY 12110
Phone (518) 783-0090
1930 South Rd
#105
Poughkeepsie, NY 12601
Phone (845) 298-3200
125 Shop City Plz
#1802
Syracuse, NY 13206
Phone (315) 463-7700
2921 Erie Blvd E
Syracuse, NY 13224
Phone (315) 446-3145
175 E Houston St
Fl 5
San Antonio, TX 78205
Phone (210) 524-6922
Organizations & group practices 4
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.
-
- Optometrist
- Bayside, NY
- NPI 1376225995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192147200000",
"number": "1255529392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 SARAH ANNE CT",
"city": "MILLER PLACE",
"state": "NY",
"postal_code": "117642332",
"telephone_number": "631-828-4516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 ROUTE 110 # A",
"city": "HUNTINGTON STATION",
"state": "NY",
"postal_code": "117464130",
"telephone_number": "631-351-5355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARINO",
"first_name": "MARLEEN",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-12",
"last_updated": "2007-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "VUT005561",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntington Station, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; 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.