Active NPI
Dr W E Marshall and Dr J C Marshall Optometrists Inc
- Optometrist
- Indianapolis, IN
National Provider Identifier
1548308232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18001561B
- Legal business name
- DR W E MARSHALL AND DR J C MARSHALL OPTOMETRISTS INC
- Practice address
- 1990 N Arlington Ave
Indianapolis, IN 46218-5128 - Phone
- (317) 357-8534
- Fax
- (317) 322-7794
- NPI assigned
- Feb 2, 2007
- 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. Jeffrey C Marshall, O.D.
- Title
- Owner
- Phone
- (317) 357-8534
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18001561B | IN | Primary |
Addresses
Primary practice location
1990 N Arlington Ave
Indianapolis, IN 46218-5128
Mailing address
1990 N Arlington Ave
Indianapolis, IN 46218-5128
Phone (317) 357-8534
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DR42420 | Medicaid | IN |
National Provider Directory
National Provider DirectoryLocations
1990 N Arlington Ave
Indianapolis, IN 46218
Phone (317) 357-7788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203379200000",
"number": "1548308232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1990 N ARLINGTON AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462185128",
"telephone_number": "317-357-8534",
"fax_number": "317-322-7794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1990 N ARLINGTON AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462185128",
"telephone_number": "317-357-8534",
"fax_number": "317-322-7794"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR W E MARSHALL AND DR J C MARSHALL OPTOMETRISTS INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-02",
"last_updated": "2008-02-19",
"status": "A",
"authorized_official_last_name": "MARSHALL",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "317-357-8534",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "IN",
"license": "18001561B",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DR42420",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.