Mr. Joseph T Marcin, Jr

Primary specialty

OptometristTaxonomy code 152W00000X

License

046007210 Issued in IL

Legal business name

MR. JOSEPH T MARCIN, JR

Practice address

120 S Locust St
Pana, IL 62557-1430

Phone

(217) 562-2432

Fax

(217) 562-2446

NPI assigned

Mar 17, 2009

Last updated

Mar 18, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

MR. JOSEPH T. MARCIN, JRAs reported in NPPES

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

Authorized official

Name

Mr. Joseph Thomas Marcin Jr., ODNPI 1669467189

Title

Owner

Phone

(217) 562-2432

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Joseph T Marcin

Locations

Practitioners 1

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.

• Joseph T Marcin Jr.

  • Optometrist
  • Shelbyville, IL
  • NPI 1669467189
  NPD (past) Authorized official

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

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237334400000",
    "number": "1497996748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 230",
            "city": "PANA",
            "state": "IL",
            "postal_code": "625570230",
            "telephone_number": "217-562-2432",
            "fax_number": "217-562-2446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S LOCUST ST",
            "city": "PANA",
            "state": "IL",
            "postal_code": "625571430",
            "telephone_number": "217-562-2432",
            "fax_number": "217-562-2446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MR. JOSEPH T MARCIN, JR",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MR. JOSEPH T. MARCIN, JR",
        "enumeration_date": "2009-03-17",
        "last_updated": "2009-03-18",
        "status": "A",
        "authorized_official_last_name": "MARCIN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-562-2432",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046007210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE/PALMETTO GBA",
            "identifier": "410006290",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John A Metzger
• Shabaz Mohammad Begum, MD
• Lindsey Nicole Moore, MS
• Allison Michelle Morgason, APRN
• Secily Moss
• Marlon Tan Muneses, MD
• NPT Special Education Cooperative
• Pana Community Hospital Association (Pana Medical Group)
• Pana Community Hospital Association (Community Medical Clinic of Pana)
• Pana Community Hospital Association (Community Medical Clinic)

• Optometrist in Pana, IL
• Providers in Pana, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; 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.