Jeremy Kyle Marcuson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3884 Issued in WA

Practice address

26 W. H St.
Stuite a
Deer Park, WA 99006

Phone

(509) 276-6932

Fax

(509) 276-1608

NPI assigned

Jun 10, 2005

Last updated

Jun 20, 2022By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WA

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

Pacific University - College of Optometry, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Future Vision Partners IncGroup PAC ID 2365330099, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

77.28 of 100Reported as individual

Quality

54.55

Improvement activities

40

Procedures performed for Medicare patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Future Vision Partners, Inc

  dba Deer Park Vision

  • Corneal and Contact Management Optometrist
  • Deer Park, WA
  • NPI 1285790659
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1356345078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 W H ST STE A",
            "city": "DEER PARK",
            "state": "WA",
            "postal_code": "990067167",
            "telephone_number": "509-276-6932",
            "fax_number": "509-276-1608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 W. H ST.",
            "address_2": "STUITE A",
            "city": "DEER PARK",
            "state": "WA",
            "postal_code": "99006",
            "telephone_number": "509-276-6932",
            "fax_number": "509-276-1608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCUSON",
        "first_name": "JEREMY",
        "middle_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2030880",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Direct@DeerParkVisionSourceDeerParkWA.CompulinkDirect.com",
            "affiliation": "Y",
            "endpointDescription": "Direct Email for Jeremy Marcuson OD at Deer Park Vision Source",
            "affiliationName": "Future Vision Partners, Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "26 W H St",
            "address_2": "Suite A",
            "city": "Deer Park",
            "state": "WA",
            "country_code": "US",
            "postal_code": "990067167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lori Tetsuro McDonald (Hearing Center of Deer Park LLC)
• Kendahl Ann Ludiker, PA
• Carey Ann Mack, PT
• Michael Magennis, CRNA
• Mahanaim Psychology Services, PLLC
• Melissa Ann McCollough, LMP
• Lori T McDonald, HIS, AAS
• Jennifer L McLaughlin, LMT
• Andrea Janelle Melton, DENTAL HYGIENIST
• Ward Merkeley, MD

• Optometrist in Deer Park, WA
• Providers in Deer Park, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; 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.