Kelsey Amber Marwood, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV009412-01 Issued in NY

Practice address

307 Eastview Mall
Victor, NY 14564-1017

Phone

(585) 425-7400

NPI assigned

Jul 27, 2021

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Luxottica of America Inc.

  • Eyewear Supplier
  • Victor, NY
  • NPI 1447312558
  NPD (past)
• Luxottica of America Inc

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1649943598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "763 EASTVIEW MALL",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145641032",
            "telephone_number": "585-425-7400",
            "fax_number": "585-425-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 EASTVIEW MALL",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145641017",
            "telephone_number": "585-425-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARWOOD",
        "first_name": "KELSEY",
        "middle_name": "AMBER",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-27",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV009412-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norene Marlowe
• Marshall Dental Care of Victor, PC
• Carol Ann Marshall, COTA
• Wendy Colleen Marshall, D.D.S.
• Katherine Maruska, M.S.
• Melissa A. Maschoff, RN
• Jenna Rose Mastin, MA, CF-SLP
• Alexander Mathes
• Rachel S Matichak
• Mary Ann Matyjas

• Optometrist in Victor, NY
• Providers in Victor, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.