Individual provider Active NPI

Daniel Marsac, O.D.

  • Optometrist
  • Dayton, OH
National Provider Identifier
1275935439
Registry record updated Sep 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004870 Issued in MI
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

Updated by the provider on Sep 19, 2014

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

Specialties & licenses 4

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151222000010 MN Practitioner - Optometry 6305147125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rochester Family Eye Clinic LLCGroup PAC ID 7214952662, 6 clinicians

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

LicenseStateTypeSpecialty
3455MNMDMarriage & Family Therapist
4901004870MIMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester Family Eye Clinic LLC Optometrist CurrentSince Jan 1, 2016 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.

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

Verify at the official NPI Registry.