Cheryl L Marinchak, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OE006202T Issued in PA

Practice address

158 Mall Rd
Lehighton, PA 18235-8754

Phone

(610) 377-8585

Fax

(610) 377-8586

NPI assigned

Sep 12, 2005

Sex

Female

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 PA

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

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 and National Provider Directory roles.

• Clear View Optical

  • Eyewear Supplier
  • Lehighton, PA
  • NPI 1295904415
  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": "1261440000000",
    "number": "1679568166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 MALL RD",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182358754",
            "telephone_number": "610-377-8585",
            "fax_number": "610-377-8586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 MALL RD",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182358754",
            "telephone_number": "610-377-8585",
            "fax_number": "610-377-8586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINCHAK",
        "first_name": "CHERYL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-12",
        "last_updated": "2009-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OE006202T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahoning Valley Ambulance Association
• Mahoning Valley Ambulance Association, Inc.
• Mahoning Valley Convalescent Home, Inc.
• Edward Marchessault, PT
• Kimberly Marchessault, PT
• William M Markson, M.D.
• David Marouchoc, LSW
• Marissa Marsh, CRNP
• Sara Vaun Marshall, RDH
• Maria Tatiana Martinez-Baladejo

• Optometrist in Lehighton, PA
• Providers in Lehighton, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.