NPIMap

Individual provider Active NPI

Benjamin Marvin Marske, O.D.

  • Optometrist
  • Fort Collins, CO
National Provider Identifier
1679557110
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.0002578 Issued in CO
Practice address
1725 E Prospect Rd
Fort Collins, CO 80525
Phone
(970) 221-2222
Fax
(970) 221-4286
NPI assigned
Nov 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.0002578 CO Primary

Addresses

Primary practice location

1725 E Prospect Rd
Fort Collins, CO 80525

Mailing address

1725 E Prospect Rd
Fort Collins, CO 80525-1307
Phone (970) 221-2222

Other practice location 1

Optometry Clinic/ SGPE
18th Medical Group Unit 5267
Apo, AP 96368-5267
Phone 011816117304039

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090204000373 CO Practitioner - Optometry 1557425618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Center of Northern Colorado PCGroup PAC ID 5496644841, 67 clinicians

Practice addresses (Care Compare)

1725 E Prospect Rd
Fort Collins, CO 80525-1307
Phone (970) 221-2222

Hospital & facility affiliations

  • Poudre Valley Hospital Hospital, Fort Collins, CO, CCN 060010

Merit-based Incentive Payment System (MIPS)

Final score
91.23 of 100Reported as group
Quality
84.06
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Center of Northern Colorado, P.C. CurrentSince Feb 1, 2009 Accepting new patients

Locations

2121 E Harmony Rd
Fort Collins, CO 80528
Phone (970) 237-7700

1725 E Prospect Rd
Fort Collins, CO 80525
Phone (970) 221-2222

2121 E Harmony Rd
Unit 190
Fort Collins, CO 80528
Phone (970) 221-2222

1701 61st Ave
Greeley, CO 80634
Phone (970) 221-2222

2555 E 13th St
Loveland, CO 80537
Phone (970) 461-6193

2555 E 13th St
Ste 225
Loveland, CO 80537
Phone (970) 221-2222

6125 Sky Pond Dr
Ste 160
Loveland, CO 80538
Phone (970) 221-2222

Interoperability endpoints

  • Direct secure messaging: benjamin.marske.p1@direct.eyecenternoco.nextgenshare.com

Organizations & group practices 1

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.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1679557110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 E PROSPECT RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251307",
            "telephone_number": "970-221-2222",
            "fax_number": "970-221-4286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 E PROSPECT RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "80525",
            "telephone_number": "970-221-2222",
            "fax_number": "970-221-4286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Optometry Clinic/ SGPE",
            "address_2": "18th Medical Group Unit 5267",
            "address_purpose": "LOCATION",
            "city": "APO",
            "state": "AP",
            "postal_code": "963685267",
            "country_code": "US",
            "telephone_number": "011816117304039",
            "country_name": "United States",
            "address_type": "MIL"
        }
    ],
    "basic": {
        "last_name": "MARSKE",
        "first_name": "BENJAMIN",
        "middle_name": "MARVIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0002578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.