Neill R Marshall OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

586OD Issued in WV

Legal business name

NEILL R MARSHALL OD PC

Practice address

903 Third Street
New Martinsville, WV 26155

Phone

(304) 455-4300

Fax

(304) 455-4306

NPI assigned

Feb 11, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Neill R Marshall, OD

Title

Owner

Phone

(304) 455-4300

Specialties & licenses 1

Addresses

Other names 1

• Optometrist Other name

Locations

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1568630770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 THIRD STREET",
            "address_2": "PO BOX 219",
            "city": "NEW MARTINSVILLE",
            "state": "WV",
            "postal_code": "26155",
            "telephone_number": "304-455-4300",
            "fax_number": "304-455-4306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 THIRD STREET",
            "city": "NEW MARTINSVILLE",
            "state": "WV",
            "postal_code": "26155",
            "telephone_number": "304-455-4300",
            "fax_number": "304-455-4306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEILL R MARSHALL OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "NEILL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-455-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WV",
            "license": "586OD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optometrist",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Optometrist in New Martinsville, WV
• Providers in New Martinsville, WV by specialty
• Optometrist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.