Marianna Konradi, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

9076T Issued in TX

Practice address

24 Walton Dr Ste A6
Brewer, ME 04412-1001

Phone

(207) 200-1492

Fax

(844) 801-2454

NPI assigned

Oct 4, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Optometry

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Marianna Konradi OD PLLC

  • Clinic/Center
  • Abilene, TX
  • NPI 1760151138
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1598215436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 WALTON DR STE A6",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044121001",
            "telephone_number": "207-200-1492",
            "fax_number": "844-801-2454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 WALTON DR STE A6",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044121001",
            "telephone_number": "207-200-1492",
            "fax_number": "844-801-2454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Thomaston Commons Way",
            "address_purpose": "LOCATION",
            "city": "Thomaston",
            "state": "ME",
            "postal_code": "048613524",
            "country_code": "US",
            "telephone_number": "207-200-1492",
            "fax_number": "844-801-2454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KONRADI",
        "first_name": "MARIANNA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-04",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9076T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle M Kissinger, DPT
• Kathleen Anne Knipscher, DO
• Mitchell Deanna Kohls
• Julie Reva Kominsky
• Brandon Kong
• Judy J Kuhns-Hastings, FNPC
• Ashley Kunich, DPT
• Michelle L Lacombe, PMHNP
• Auteum Lake, RN, NP-C
• Audrey Lambert, PHARMD

• Optometrist in Brewer, ME
• Providers in Brewer, ME by specialty
• Optometrist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.