Joseph T Marcin Jr.

Primary specialty

OptometristTaxonomy code 152W00000X

License

047027210 Issued in IL

Practice address

1401 W Main St
Shelbyville, IL 62565-1256

Phone

(217) 774-2181

Fax

(217) 774-3104

NPI assigned

Sep 12, 2005

Last updated

May 23, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 IL2 enrollments

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 2

Specialty

Optometry

Education

Indiana University - School of Optometry, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

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

• Mr. Joseph T Marcin, Jr

  • Optometrist
  • Pana, IL
  • NPI 1497996748
  NPD (past) Authorized official
• Center for Sight of Central Illinois SC

  dba Central Illinois Vision Center

  • Ophthalmology Physician
  • Decatur, IL
  • NPI 1093854820

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1669467189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 W MAIN ST",
            "city": "SHELBYVILLE",
            "state": "IL",
            "postal_code": "625651256",
            "telephone_number": "217-774-2181",
            "fax_number": "217-774-3104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 W MAIN ST",
            "city": "SHELBYVILLE",
            "state": "IL",
            "postal_code": "625651256",
            "telephone_number": "217-774-2181",
            "fax_number": "217-774-3104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCIN",
        "first_name": "JOSEPH",
        "middle_name": "T",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "047027210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Poojitha Kolluri, MD
• Rhonda Marie Kull, D.C.
• Mackenzie Marie Lewis, PTA
• Heather Lindahl
• Ashley Elizabeth Lockart, M.S., CCC-SLP
• Rachel Massey, PTA
• Sarah E Massey, APRN, FNP-C
• Michelle Anne McClain, P.T.
• Samiha McConnell, APRN
• Timeka Dawn McKittrick

• Optometrist in Shelbyville, IL
• Providers in Shelbyville, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.