Lindsey Renee Marvel, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT-OPT-LIC-1620 Issued in MN

Practice address

425 7TH Street NW
Cass Lake Indian Hospital ,
Cass Lake, MN 56633

Phone

(405) 509-3913

NPI assigned

Aug 27, 2012

Sex

Female

Sole proprietor

No

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 TX, MI, NY, NM4 enrollments

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 4

Specialty

Optometry

Education

Indiana University - School of Optometry, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lidnsey.marvel.p1@direct.kp-hc.nextgenshare.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.

• Empire Vision Center Inc

  • Optometrist
  • Syracuse, NY
  • NPI 1750358826
  Medicare reassignment NPD
• Eyemote Vision

  • Optometrist
  • Tulsa, OK
  • NPI 1073382644
  NPD Authorized official
• Kewa Pueblo Health Corporation

  • Federally Qualified Health Center (FQHC)
  • Santo Domingo Pueblo, NM
  • NPI 1467739888

  TX

  Medicare reassignment
• Mobilitycares New Mexico LLC

  • Optometrist
  • Rio Rancho, NM
  • NPI 1821941634
  Medicare reassignment
• Visionworks, Inc

  • Optometrist
  • Rochester Hills, MI
  • NPI 1366822991
  Medicare reassignment
• Visionworks, Inc.

  • Optometrist
  • Albuquerque, NM
  • NPI 1801960620
  Medicare reassignment
• Empire Vision Center, Inc

  • Eyewear Supplier
  • Attleboro, MA
  • NPI 1730635582
  NPD
• Kewa Pueblo Health Corporation

  • Community/Behavioral Health Agency
  • Santo Domingo Pueblo, NM
  • NPI 1336659077
  NPD (past)

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

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346025600000",
    "number": "1417205352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17217 SADDLECREEK WAY",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730127417",
            "telephone_number": "405-509-3913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 7TH STREET NW",
            "address_2": "CASS LAKE INDIAN HOSPITAL ,",
            "city": "CASS LAKE",
            "state": "MN",
            "postal_code": "56633",
            "telephone_number": "405-509-3913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARVEL",
        "first_name": "LINDSEY",
        "middle_name": "RENEE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-27",
        "last_updated": "2012-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "OPT-OPT-LIC-1620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Duane Malterud, DNP
• Jessica Rose Malterud, BSN, PHN, RN
• Constance J Mangiamele, APRN
• Rachel Marie Markham
• Roberta L Marsolek, RN
• Alissa Massie, DPT
• Anoshirvan Mazhari, M.D.
• Kathleen McBride, RN
• Ken McCutchan, PHARM D
• Julie Ann McFarlane, RN

• Optometrist in Cass Lake, MN
• Providers in Cass Lake, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; 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.