Individual provider Active NPI

Marleen Marino, O.D.

  • Optometrist
  • Huntington Station, NY
National Provider Identifier
1255529392
Registry record updated Oct 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
VUT005561 Issued in NY
Practice address
160 Route 110 # a
Huntington Station, NY 11746-4130
Phone
(631) 351-5355
NPI assigned
Oct 12, 2007
Last updated
Oct 12, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090728000676 NY Practitioner - Optometry 8123171824 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
VUT005561NYMDOptometrist
005561NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Empire Vision Center, Inc CurrentSince Jul 1, 2016 Accepting new patients
Empire Vision Center Inc Optometrist CurrentSince Jul 1, 2016 Accepting new patients
Bayside Vision Corp Optometrist PastSince Aug 6, 2023 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.

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

Verify at the official NPI Registry.