Active NPI
Robert Arthur Marsh, OPTICIAN
- Optician
- Flushing, NY
National Provider Identifier
1265520357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 4807
- Practice address
- 18012 Union Tpke
Flushing, NY 11366-1620 - Phone
- (718) 380-5353
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Optician | 156FX1800X | 4807 | NY | Primary |
Addresses
Primary practice location
18012 Union Tpke
Flushing, NY 11366-1620
Mailing address
3147 Clubhouse Rd
Merrick, NY 11566-4811
Phone (516) 378-7623
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01449467 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4807 | NY | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marsh Optical Boutique Inc. | Optician | Current | Accepting new patients |
Locations
18012 Union Tpke
Fresh Meadows, NY 11366
Phone (718) 380-5353
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1265520357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3147 CLUBHOUSE RD",
"city": "MERRICK",
"state": "NY",
"postal_code": "115664811",
"telephone_number": "516-378-7623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18012 UNION TPKE",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113661620",
"telephone_number": "718-380-5353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSH",
"first_name": "ROBERT",
"middle_name": "ARTHUR",
"name_prefix": "Mr.",
"credential": "OPTICIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NY",
"license": "4807",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01449467",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.