Michael Marino, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1716 Issued in NC

Practice address

113 Salem Towne CT
Apex, NC 27502-2311

Phone

(919) 367-8411

Fax

(919) 367-8431

NPI assigned

May 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

New England College of Optometry, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clark Optometric Center PAGroup PAC ID 6709911092, 45 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michael.marino@uprisedirect.com

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.

• Clark Optometric Center PA

  • Optometrist
  • Durham, NC
  • NPI 1588619217
  Medicare reassignment Care Compare group NPD
• Chatham Optometric OD PA

  • Optometrist
  • Chapel Hill, NC
  • NPI 1386861326
  NPD (past)
• Duplin Eye Associates PA

  • Optometrist
  • Kenansville, NC
  • NPI 1508845587
  NPD (past)
• John B. Marshall Optometrist PA

  • Optometrist
  • Hillsborough, NC
  • NPI 1659594224
  NPD (past)
• Patty Vision Center OD PA

  • Optometrist
  • Yanceyville, NC
  • NPI 1497798177
  NPD (past)
• Patty Vision Center OD PA

  • Optometrist
  • Burlington, NC
  • NPI 1548217755
  NPD (past)
• Patty Vision Center OD PA

  • Optometrist
  • Roxboro, NC
  • NPI 1740339449
  NPD (past)

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

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430956800000",
    "number": "1326097601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 SALEM TOWNE CT",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275022311",
            "telephone_number": "919-367-8411",
            "fax_number": "919-367-8431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 SALEM TOWNE CT",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275022311",
            "telephone_number": "919-367-8411",
            "fax_number": "919-367-8431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINO",
        "first_name": "MICHAEL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-06",
        "last_updated": "2015-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890908C",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Ibrahima Manneh
• Manoranjini Mannur
• Maria Cristina Maresca, DDS, MS
• Stanley J Margerum, LMBT
• Morgan Vaughn Mariani, MA, BCBA
• Laura Rapp Marlow, RPH
• Diana Maria Marquez
• Ashley Marshall, SLP.D, CCC-SLP
• Kara Nicole Marshburn, LPC
• Marston Audiology Group PLLC

• Optometrist in Apex, NC
• Providers in Apex, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; 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.