Individual provider Active NPI

Marnie Genre, O.D.

  • Optometrist
  • Watertown, NY
National Provider Identifier
1508802067
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1391 Issued in LA
Practice address
1125 Arsenal St
Watertown, NY 13601-2184
Phone
(315) 788-5020
NPI assigned
Jun 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 5324 LA
Optometrist 152W00000X 1391 LA Primary

Addresses

Primary practice location

1125 Arsenal St
Watertown, NY 13601-2184

Mailing address

33 Lead Mine Rd
Leverett, MA 01054-9524
Phone (504) 606-1905

Other practice location 1

7611 Maple St
Suite B1
New Orleans, LA 70118-5068
Phone (504) 252-0577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY, MA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20210518002087 PA Practitioner - Optometry 5799971156 Reassigns benefits to 4 organizations
I20210518002202 NY Practitioner - Optometry 5799971156 Reassigns benefits to 3 organizations
I20260309002889 MA Practitioner - Optometry 5799971156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

33 Lead Mine Rd
Leverett, MA 01054-9524

5 Dakota Dr
Suite 307
New Hyde Park, NY 11042-1106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5324LAMDCounselor
009100NYMDMental Health Counselor
1391LAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Ohio Professional PC Optometrist CurrentSince May 1, 2024 Accepting new patients
Empire Vision Center, Inc CurrentSince Feb 13, 2021 Accepting new patients
Visionworks, Inc. Optometrist CurrentSince Feb 13, 2021 Accepting new patients
Visionworks, Inc CurrentSince Feb 13, 2021 Accepting new patients
Best Vision, Inc Optometrist CurrentSince Jun 4, 2024 Accepting new patients
Myeyedr Optometry of Massachusetts P C Optometrist CurrentSince Feb 25, 2026 Accepting new patients
Myeyedr Optometry of Massachusetts P C Optometrist CurrentSince Feb 25, 2026 Accepting new patients
Empire Vision Center Inc Optometrist CurrentSince Feb 13, 2021 Accepting new patients
Beacon Christian Community Health Center Inc CurrentSince Feb 11, 2026 Accepting new patients
Aeg Ohio Professional PC Optometrist CurrentSince May 1, 2024 Accepting new patients
Aeg Pennsylvania Professional Inc Optometrist CurrentSince Dec 1, 2024 Accepting new patients
Beacon Christian Community Health Center, Inc. Past Accepting new patients
Burtheville Counseling LLC Professional Past Accepting new patients

Locations

197 Westbank Expy
Ste 1540
Gretna, LA 70053
Phone (504) 361-4200

5953 W Park Ave
Ste 1031
Houma, LA 70364
Phone (985) 868-0699

426 N Main St
East Longmeadow, MA 01028
Phone (413) 525-3010

2680 Delaware Ave
Ste C
Buffalo, NY 14216
Phone (716) 873-1241

12469 Olean Rd
Ste 1
Chaffee, NY 14030
Phone (716) 496-7454

722 S Meadow St
Ithaca, NY 14850
Phone (607) 273-3300

8511 126th St
Kew Gardens, NY 11415
Phone (718) 849-7773

560 Troy Schenectady Rd
#7
Latham, NY 12110
Phone (518) 783-0090

1930 South Rd
#105
Poughkeepsie, NY 12601
Phone (845) 298-3200

2590 W Ridge Rd
Rochester, NY 14626
Phone (585) 227-7150

2079 Forest Ave
Staten Island, NY 10303
Phone (718) 815-6560

2031 Forest Ave
Ste 2
Staten Island, NY 10303
Phone (718) 815-6560

2921 Erie Blvd E
Syracuse, NY 13224
Phone (315) 446-3145

1125 Arsenal St
Watertown, NY 13601
Phone (315) 786-0133

3401 Hartzdale Dr
Camp Hill, PA 17011
Phone (717) 975-0501

560 Millcreek Mall
Erie, PA 16565
Phone (814) 868-8540

2203 W 38th St
Erie, PA 16506
Phone (814) 838-2020

854 Plaza Blvd
Lancaster, PA 17601
Phone (717) 295-3111

2300 E Lincoln Hwy
Langhorne, PA 19047
Phone (215) 750-3760

187 Scharberry Ln
Mars, PA 16046
Phone (724) 591-5501

4891 West Chester Pike
Newtown Square, PA 19073
Phone (610) 359-8131

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1508802067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 LEAD MINE RD",
            "city": "LEVERETT",
            "state": "MA",
            "postal_code": "010549524",
            "telephone_number": "504-606-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 ARSENAL ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136012184",
            "telephone_number": "315-788-5020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7611 Maple St",
            "address_2": "Suite B1",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701185068",
            "country_code": "US",
            "telephone_number": "504-252-0577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GENRE",
        "first_name": "MARNIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "5324",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, NY

Sources for this page

Verify at the official NPI Registry.