Marshalls Creek Vision Center

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000213 Issued in PA

Legal business name

MARSHALLS CREEK VISION CENTER

Practice address

145 Palmer Park Mall
Pearle Vision
Easton, PA 18045-2759

Phone

(610) 258-4372

Fax

(610) 258-5878

NPI assigned

Jun 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gary Jon Kokosky, ODNPI 1518003789

Title

President

Phone

(610) 704-6512

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gary Jon Kokosky, O.D.

  • Optometrist
  • Easton, PA
  • NPI 1518003789
  NPD (past) Authorized official

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316141864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 GLASE RD",
            "city": "DANIELSVILLE",
            "state": "PA",
            "postal_code": "180389692",
            "telephone_number": "610-837-2398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 PALMER PARK MALL",
            "address_2": "PEARLE VISION",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180452759",
            "telephone_number": "610-258-4372",
            "fax_number": "610-258-5878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALLS CREEK VISION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOKOSKY",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "JON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-704-6512",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Uzma Mariam, MD
• Gina Marinelli, M.A, NCC
• Mark J Fabey DMD, PC
• Jhoanna Rae Marquez, P.T.
• Juan Carlos Marrero Berrios, MD
• John Martin, D.C.
• Miranda Andrea Martinez-Hussain, MD
• Ivonne Martinez, PHARMD
• Santos Aquilino Martinez
• Kathleen M. Mashintonio, MSN, CRNP, NP-C

• Optometrist in Easton, PA
• Providers in Easton, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.