Active NPI
Marciano Family Optometric
- Optometrist
- West Palm Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC 003248
- Legal business name
- MARCIANO FAMILY OPTOMETRIC
- Practice address
- 1788 N. Jog Rd.
West Palm Beach, FL 33411-0000 - Phone
- (561) 242-1200
- Fax
- (561) 242-1291
- NPI assigned
- Nov 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark Thomas Marciano, O.D.
- Title
- Optometrist-Owner
- Phone
- (561) 242-1200
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC 003248 | FL | Primary |
Addresses
Primary practice location
1788 N. Jog Rd.
West Palm Beach, FL 33411-0000
Mailing address
1788 N. Jog Rd.
West Palm Beach, FL 33411-0000
Phone (561) 242-1200
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5446497 | Other | FL | CIGNA |
| 20844 | Other | FL | BLUE CROSS & BLUE SHIELD |
| 002368580 | Other | FL | UNITED HEALTHCARE |
| M620930100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1788 N Jog Rd
West Palm Beach, FL 33411
Phone (561) 242-1200
7750 Okeechobee Blvd
Ste 9
West Palm Beach, FL 33411
Phone (561) 242-1200
2021 Palm Beach Lakes Blvd
West Palm Beach, FL 33409
Phone (561) 478-7855
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- West Palm Beach, FL
- NPI 1528064656
-
- Optometrist
- Wellington, FL
- NPI 1942279625
-
- Optometrist
- Davie, FL
- NPI 1023469046
-
- Optometrist
- West Palm Beach, FL
- NPI 1184618365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1427414400000",
"number": "1447325568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1788 N. JOG RD.",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334110000",
"telephone_number": "561-242-1200",
"fax_number": "561-242-1291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1788 N. JOG RD.",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334110000",
"telephone_number": "561-242-1200",
"fax_number": "561-242-1291"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARCIANO FAMILY OPTOMETRIC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-22",
"last_updated": "2015-03-27",
"status": "A",
"authorized_official_last_name": "MARCIANO",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "OPTOMETRIST-OWNER",
"authorized_official_telephone_number": "561-242-1200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "FL",
"license": "OPC 003248",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "5446497",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "20844",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "002368580",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "M620930100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.