Jessica Lynn Marshall, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV0071501 Issued in NY

Practice address

2130 State Route 35
In C/O Lens Crafters
Holmdel, NJ 07733-3116

Phone

(732) 275-0010

Fax

(732) 275-0010

NPI assigned

Aug 12, 2008

Sex

Female

Sole proprietor

Yes

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 NJ

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

State University of New York - State College Optometry, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eyecare Specialties Support of NJ PCGroup PAC ID 6800309287, 25 clinicians

Practice addresses (Care Compare)

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.

• Eyecare Specialties Support of NJ PC

  • Optometrist
  • Blackwood, NJ
  • NPI 1003601287
  Medicare reassignment Care Compare group NPD
• Marshall Eyecare Physicians, PC

  • Optometrist
  • Holmdel, NJ
  • NPI 1659675270
  Medicare reassignment NPD Authorized official
• Specs for Less

  • Technician/Technologist
  • Staten Island, NY
  • NPI 1962592840
  NPD (past)

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282867200000",
    "number": "1295981017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 STATE ROUTE 35",
            "address_2": "IN C/O LENS CRAFTERS",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077333116",
            "telephone_number": "732-275-0010",
            "fax_number": "732-275-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 STATE ROUTE 35",
            "address_2": "IN C/O LENS CRAFTERS",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077333116",
            "telephone_number": "732-275-0010",
            "fax_number": "732-275-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-12",
        "last_updated": "2010-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV0071501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Marino III, LCADC
• Richard P Marino, D.O.
• Brianna Marrone, NP
• Daniella Maria Marrone, FNP
• Marshall Eyecare Physicians, PC
• Mayya Wellness Institute
• Brittany McCabe
• Christina McCourt, APN
• Meghan Elizabeth McCue, MS, LAC, NBCC
• Molly Michelle McElwee, APN

• Optometrist in Holmdel, NJ
• Providers in Holmdel, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; 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.