Individual provider Active NPI

Marlene Catarino, O.D

  • Optometrist
  • Fort Oglethorpe, GA
National Provider Identifier
1467077503
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
003243 Issued in GA
Practice address
97 Parkway Dr
Fort Oglethorpe, GA 30742-4249
Phone
(762) 887-6053
NPI assigned
Jun 15, 2020
Last updated
Jun 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 003243 GA Primary

Addresses

Primary practice location

97 Parkway Dr
Fort Oglethorpe, GA 30742-4249

Mailing address

328 Cherokee Blvd Apt 307
Chattanooga, TN 37405-4500
Phone (857) 285-0393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, MT2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20210104000568 GA Practitioner - Optometry 7012320427
I20250103002931 MT Practitioner - Optometry 7012320427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellford Eye Center PLLCGroup PAC ID 0547768202, 2 clinicians

Practice addresses (Care Compare)

1425 W Main St
Unit B
Bozeman, MT 59715-3283
Phone (406) 586-2173

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eyes on Main Incorporated Optometrist CurrentSince Jul 1, 2025 Accepting new patients
Wellford Eye Center PLLC Optometrist CurrentSince Jul 1, 2025 Accepting new patients
National Vision Inc PastSince Jun 21, 2020 Accepting new patients

Locations

1425 W Main St
Unit B
Bozeman, MT 59715
Phone (406) 586-2173

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1467077503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 CHEROKEE BLVD APT 307",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374054500",
            "telephone_number": "857-285-0393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 PARKWAY DR",
            "city": "FORT OGLETHORPE",
            "state": "GA",
            "postal_code": "307424249",
            "telephone_number": "762-887-6053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATARINO",
        "first_name": "MARLENE",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-15",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "003243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Oglethorpe, GA

Sources for this page

Verify at the official NPI Registry.