Wendy Lynne Marshall, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0053991 Issued in NY

Practice address

30 W 60TH St Apt 1Y
New York, NY 10023-7906

Phone

(212) 262-5177

Fax

(212) 265-8225

NPI assigned

Jan 18, 2007

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299715200000",
    "number": "1457404204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 E 77TH ST",
            "address_2": "3FW",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100752119",
            "telephone_number": "917-562-6342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 W 60TH ST APT 1Y",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100237906",
            "telephone_number": "212-262-5177",
            "fax_number": "212-265-8225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "WENDY",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2011-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "0053991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teagan Elizabeth Marshall
• Thomas Marshall
• Tyeisha Marshall, RN
• Victoria Kilburn Marshall
• Virginia Marshall, OTR
• William Tyler Marshall, PA-C
• Erika Lynn Marsiglia, PA
• Ruth Sofia Marsiliani, BA,MS, FBPI
• Freddi Marsillo, MA
• Jacqueline Marsillo

• Optometrist in New York, NY
• Providers in New York, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.