Marisa Feliciano, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT001322 Issued in GA

Practice address

550 Peachtree St NE
9TH Floor
Atlanta, GA 30308-2247

Phone

(404) 686-8126

Fax

(404) 686-4785

NPI assigned

Jul 19, 2006

Last updated

Nov 27, 2007By the provider in NPPES

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 SC

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

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.

• Premise Health of South Carolina Medical PC

  dba Michelin Family Health Center

  • Clinic/Center
  • Greenville, SC
  • NPI 1588972426
  NPD
• Premise Health of South Carolina Medical PC

  dba Michelin Family Health Center Starr

  • Multi-Specialty Clinic/Center
  • Anderson, SC
  • NPI 1952808974
  NPD
• Premise Health of South Carolina Medical, P.C

  dba Associate Family Health Center

  • Optometrist
  • Greer, SC
  • NPI 1013354182
  NPD

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196121600000",
    "number": "1437178340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 PEACHTREE ST NE",
            "address_2": "9TH FLOOR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082247",
            "telephone_number": "404-686-8126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 PEACHTREE ST NE",
            "address_2": "9TH FLOOR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082247",
            "telephone_number": "404-686-8126",
            "fax_number": "404-686-4785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELICIANO",
        "first_name": "MARISA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT001322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Feldman, MS, OTR/L
• Reva Ruth Feldman
• Robert Steven Feldman, PA
• Ron Feldman, MD, PHD
• Anna Feliciano, MD/MBA
• Kathleen Felisca, MD
• Arlene Raymundo Felismino, PT
• Ashaki Felix, RBT
• Cynthia Nkemjika Felix, COTA
• Keny Felix, LPC

• Optometrist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.