William Parker Marks Jr., M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

030829 Issued in GA

Practice address

125 Oakside CT
Suite 102
Canton, GA 30114-2498

Phone

(678) 880-0662

Fax

(678) 880-0675

NPI assigned

Sep 23, 2005

Sex

Male

Sole proprietor

Yes

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 GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Jonathan Woolfson, MD, PC

  • Ophthalmology Physician
  • Atlanta, GA
  • NPI 1891935599
  Medicare reassignment NPD
• Jonathan Woolfson, MD, PC

  • Ophthalmology Physician
  • Snellville, GA
  • NPI 1427379106
  NPD
• Marietta Eye Clinic PA

  • Ophthalmologic Surgery Clinic/Center
  • Suwanee, GA
  • NPI 1225836869
  NPD (past)

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279065600000",
    "number": "1356337448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 OAKSIDE CT",
            "address_2": "SUITE 102",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301142498",
            "telephone_number": "678-880-0662",
            "fax_number": "678-880-0675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 OAKSIDE CT",
            "address_2": "SUITE 102",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301142498",
            "telephone_number": "678-880-0662",
            "fax_number": "678-880-0675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKS",
        "first_name": "WILLIAM",
        "middle_name": "PARKER",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2010-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "030829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000575858J",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark J Goch DDS PC
• Mark Lynn OD & Associates PC
• Jennifer Field Mark, LPC
• Stephanie Markosi, MA, CCC-SLP
• Jacqueline Marks, NP
• Justin Marlow
• Kira Lynne Marquez
• David L Marshall, D.C.
• Laurie Croff Marsolo, LDO
• Eva Diane Martin, MS, LPC

• Ophthalmology Physician in Canton, GA
• Providers in Canton, GA by specialty
• Ophthalmology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.