Active NPI
John Marsh
- Optician
- Decatur, GA
National Provider Identifier
1548489156
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Jul 20, 2020.
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- LDO001315
- Practice address
- 1756 Candler Rd
Decatur, GA 30032-3277 - Phone
- (404) 289-8777
- Fax
- (404) 289-9949
- NPI assigned
- Apr 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | LDO001315 | GA | Primary |
Addresses
Primary practice location
1756 Candler Rd
Decatur, GA 30032-3277
Mailing address
1434 Scott Blvd
Suite 2
Decatur, GA 30030-1424
Phone (404) 378-2622
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LDO001315 | GA | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1548489156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1434 SCOTT BLVD",
"address_2": "SUITE 2",
"city": "DECATUR",
"state": "GA",
"postal_code": "300301424",
"telephone_number": "404-378-2622",
"fax_number": "404-378-2681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1756 CANDLER RD",
"city": "DECATUR",
"state": "GA",
"postal_code": "300323277",
"telephone_number": "404-289-8777",
"fax_number": "404-289-9949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSH",
"first_name": "JOHN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-24",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "GA",
"license": "LDO001315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.