Marc Ullman, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00554700 Issued in NJ

Practice address

90 Atlantic City Blvd
Pine Beach, NJ 08741-1545

Phone

(732) 736-1700

NPI assigned

Mar 1, 2007

Sex

Male

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 NJ

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, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Priority Eye Care LLCGroup PAC ID 7719319854, 3 clinicians

Monmouth County Primary Eye Care LLCGroup PAC ID 9234662107, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

• Priority Eye Care, LLC

  • Optometrist
  • Freehold, NJ
  • NPI 1811467418
  Medicare reassignment Care Compare group NPD Authorized official
• Monmouth County Primary Eye Care LLC

  • Optometrist
  • Wall Township, NJ
  • NPI 1851133565
  Medicare reassignment Care Compare group NPD
• MRL Vision Associates Inc

  • Optometrist
  • Pine Beach, NJ
  • NPI 1912010240
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619005832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 ATLANTIC CITY BLVD",
            "city": "PINE BEACH",
            "state": "NJ",
            "postal_code": "087411545",
            "telephone_number": "732-736-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 ATLANTIC CITY BLVD",
            "city": "PINE BEACH",
            "state": "NJ",
            "postal_code": "087411545",
            "telephone_number": "732-736-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULLMAN",
        "first_name": "MARC",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00554700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn Simon
• Christian Taschler, LAC
• Catherine Florence Thomas, LMT
• Tri-State Patient Lifts, Inc
• Stefanie Turner, NBC-HWC
• Marcy Van Zile, RDN
• Jennifer Lynn Wolgast, N.P.
• YMCA of the Jersey Shore

• Optometrist in Pine Beach, NJ
• Providers in Pine Beach, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.