Active NPI
Daniel Marsac, O.D.
- Optometrist
- Dayton, OH
National Provider Identifier
1275935439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901004870
- Practice address
- 4100 W 3Rd St
112E Optometry
Dayton, OH 45428-9000 - Phone
- (248) 701-5878
- NPI assigned
- Sep 19, 2014
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901004870 | MI | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | 4901004870 | MI | |
| Low Vision Rehabilitation Optometrist | 152WL0500X | 4901004870 | MI | |
| Sports Vision Optometrist | 152WS0006X | 4901004870 | MI |
Addresses
Primary practice location
4100 W 3Rd St
112E Optometry
Dayton, OH 45428-9000
Mailing address
425 Dayton Towers Dr Apt 6J
Dayton, OH 45410-1125
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3630 11TH Ave NW
Rochester, MN 55901-4276
Phone (507) 288-2457
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3455 | MN | MD | Marriage & Family Therapist |
| 4901004870 | MI | MD | Corneal and Contact Management Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rochester Family Eye Clinic LLC | Optometrist | Current | Accepting new patients |
Locations
3630 11th Ave NW
Rochester, MN 55901
Phone (507) 288-2457
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.
-
- Optometrist
- Rochester, MN
- NPI 1831173335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411084800000",
"number": "1275935439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 DAYTON TOWERS DR APT 6J",
"city": "DAYTON",
"state": "OH",
"postal_code": "454101125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 W 3RD ST",
"address_2": "112E OPTOMETRY",
"city": "DAYTON",
"state": "OH",
"postal_code": "454289000",
"telephone_number": "248-701-5878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSAC",
"first_name": "DANIEL",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-19",
"last_updated": "2014-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901004870",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "MI",
"license": "4901004870",
"primary": false
},
{
"code": "152WL0500X",
"taxonomy_group": "",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "MI",
"license": "4901004870",
"primary": false
},
{
"code": "152WS0006X",
"taxonomy_group": "",
"desc": "Optometrist, Sports Vision",
"state": "MI",
"license": "4901004870",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.