Marc P Wladis, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

48096 Issued in MA

Practice address

1 Washington St
Taunton, MA 02780-5293

Phone

(508) 802-6770

Fax

(508) 802-6775

NPI assigned

Jul 14, 2005

Reactivated

Mar 31, 2006

Last updated

Jul 13, 2023By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

University of Michigan Medical School, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Eye Centers IncGroup PAC ID 8527052539, 15 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Eye Centers Inc

  • Optometrist
  • N Dartmouth, MA
  • NPI 1740231323

  Ophthalmology

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1639177496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 FURLONG CIR",
            "city": "LAKEVILLE",
            "state": "MA",
            "postal_code": "023472144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WASHINGTON ST",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027805293",
            "telephone_number": "508-802-6770",
            "fax_number": "508-802-6775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Faunce Corner Rd",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "N Dartmouth",
            "state": "MA",
            "postal_code": "027471278",
            "country_code": "US",
            "telephone_number": "508-717-0270",
            "fax_number": "508-995-3060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WLADIS",
        "first_name": "MARC",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "deactivation_date": "2006-03-17",
        "reactivation_date": "2006-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "48096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3010970",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael D. Williams, PH.D.
• Patricia King Williams, MA
• Beth Williamson, MSW LCSW
• Mackenzie Marie-Brown Wilson
• Olivia Renee Wilson
• Womenandchildrenempowermentinc
• Kelsey Wood
• Charlene Woods, REGISTERED NURSE
• Katherine Wordell
• Desyre Alison Wrightington

• Ophthalmology Physician in Taunton, MA
• Providers in Taunton, MA by specialty
• Ophthalmology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.