Marina Lynn Verhagen, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00726300 Issued in NJ

Practice address

170 Changebridge Rd BLDG B5
Montville, NJ 07045-9114

Phone

(973) 835-7000

NPI assigned

Mar 5, 2024

Last updated

Mar 5, 2024By the provider in NPPES

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 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

Pennsylvania College of Optometry, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pompton Eye and Vision Care LLCGroup PAC ID 4688866205, 2 clinicians

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

• Pompton Eye and Vision Care, L.L.C.

  • Optometrist
  • Montville, NJ
  • NPI 1538387485
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1659138501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 CHANGEBRIDGE RD BLDG B5",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 CHANGEBRIDGE RD BLDG B5",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459114",
            "telephone_number": "973-835-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERHAGEN",
        "first_name": "MARINA",
        "middle_name": "LYNN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00726300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Uccello, RN, IBCLC
• Sudarsana Varma Uddaraju, PHARMACIST
• Ellen Vanderstad, APN
• Dana Marie Vasnelis, MSN
• Sophia Cara Velocci
• James D. Walter, DMD
• Wagih Girgis Wassef, MD
• Alyssa Brielle Weiss
• Well Being Therapy Center LLC
• Zu-Liang Wu, DMD

• Optometrist in Montville, NJ
• Providers in Montville, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.