Katherine Marie Marshall, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

L458478 Issued in MI

Practice address

55021 M 51 N
Dowagiac, MI 49047-9664

Phone

(269) 782-3476

NPI assigned

Aug 4, 2014

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 MI

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

Specialty

Optometry

Education

Indiana University - School of Optometry, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southwest Vision Center IncGroup PAC ID 8426209107, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southwest Vision Center Inc.

  • Optometrist
  • Edwardsburg, MI
  • NPI 1871852939
  Medicare reassignment Care Compare group NPD
• Southwest Vision Center Inc.

  • Optometrist
  • Buchanan, MI
  • NPI 1003368713
  NPD
• Advanced Mobile Eye Care, LLC

  • Optometrist
  • Saint Joseph, MI
  • NPI 1487832556
  NPD (past)

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

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407110400000",
    "number": "1255740239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55021 M 51 N",
            "city": "DOWAGIAC",
            "state": "MI",
            "postal_code": "490479664",
            "telephone_number": "269-782-3476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55021 M 51 N",
            "city": "DOWAGIAC",
            "state": "MI",
            "postal_code": "490479664",
            "telephone_number": "269-782-3476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "KATHERINE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-04",
        "last_updated": "2014-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "L458478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles C Macdonald II, M.D.
• Julie Ann Macyauski
• Danielle Mallory
• Hilary Mancik, DPT
• Manleys Countryside Manor
• Nicole Christine Martin, LMT
• Kyle Michael McKamey, DC
• Michael James McLaughlin
• Michigan Em-I Medical Services, P.C.
• Rhonda Milard, LCSW

• Optometrist in Dowagiac, MI
• Providers in Dowagiac, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.