Individual provider Active NPI

Marcus L Myers, O.D.

  • Optometrist
  • Muncy, PA
National Provider Identifier
1578754289
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001935 Issued in PA
Practice address
112 S Main St
Muncy, PA 17756-1369
Phone
(570) 546-4885
Fax
(570) 546-0628
NPI assigned
Aug 7, 2007
Last updated
Nov 22, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001935 PA Primary
Optometrist 152W00000X 007183 NY

Addresses

Primary practice location

112 S Main St
Muncy, PA 17756-1369

Mailing address

112 S Main St
Muncy, PA 17756-1369
Phone (570) 546-4885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120905000556 PA Practitioner - Optometry 3072602366 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Price Optometric Group LLCGroup PAC ID 6204071947, 2 clinicians

Practice addresses (Care Compare)

112 S Main St
Muncy, PA 17756-1369
Phone (570) 546-4885

567 E 3Rd St
Williamsport, PA 17701-5316
Phone (570) 323-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007183NYMDMental Health Counselor
OEG001935PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Vision Care, LLC Optometrist CurrentSince Jun 19, 2012 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321920000000",
    "number": "1578754289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 S MAIN ST",
            "city": "MUNCY",
            "state": "PA",
            "postal_code": "177561369",
            "telephone_number": "570-546-4885",
            "fax_number": "570-546-0628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 S MAIN ST",
            "city": "MUNCY",
            "state": "PA",
            "postal_code": "177561369",
            "telephone_number": "570-546-4885",
            "fax_number": "570-546-0628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "MARCUS",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-07",
        "last_updated": "2011-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001935",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "007183",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncy, PA

Sources for this page

Verify at the official NPI Registry.