Individual provider Active NPI

John Marshall, O.D.

  • Optometrist
  • Big Spring, TX
National Provider Identifier
1295754000
Registry record updated Sep 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2618TG Issued in TX
Practice address
2311 Scurry St
Big Spring, TX 79720-5552
Phone
(432) 263-2501
NPI assigned
Jul 19, 2006
Last updated
Sep 3, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2618TG TX Primary

Addresses

Primary practice location

2311 Scurry St
Big Spring, TX 79720-5552

Mailing address

2311 Scurry St
Big Spring, TX 79720-5552
Phone (432) 263-2501

Other identifiers 1

IdentifierTypeStateIssuer
0201691-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120302000551 TX Practitioner - Optometry 4587773650 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Associates, IncGroup PAC ID 0749307858, 3 clinicians

Practice addresses (Care Compare)

2311 Scurry St
Big Spring, TX 79720-5552
Phone (432) 263-2501

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2618TXMDProfessional Counselor
2618TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Associates, Inc Optometrist CurrentSince Jun 1, 1990 Accepting new patients

Locations

2311 Scurry St
Big Spring, TX 79720
Phone (432) 263-2501

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, 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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283472000000",
    "number": "1295754000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 SCURRY ST",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797205552",
            "telephone_number": "432-263-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 SCURRY ST",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797205552",
            "telephone_number": "432-263-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "JOHN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2010-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "2618TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0201691-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Spring, TX

Sources for this page

Verify at the official NPI Registry.