Carol E Marusich, O.D.

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

1551ATI Issued in OR

Practice address

4765 Village Plaza Loop
Suite 100
Eugene, OR 97401-6676

Phone

(541) 342-3100

Fax

(541) 342-6153

NPI assigned

Jan 26, 2007

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679629232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4765 VILLAGE PLAZA LOOP",
            "address_2": "SUITE 100",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016676",
            "telephone_number": "541-342-3100",
            "fax_number": "541-342-6153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4765 VILLAGE PLAZA LOOP",
            "address_2": "SUITE 100",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016676",
            "telephone_number": "541-342-3100",
            "fax_number": "541-342-6153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARUSICH",
        "first_name": "CAROL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "OR",
            "license": "1551ATI",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "229179",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luis Martinez, LPC
• Patrianna Shanique Martinez, FNP-C
• Raymond Martinez, DC
• Colleen Eleanor Martinson
• Roshny Bhakta Martuscelli
• Gaylene Maruska
• Caeleb Marvich, RN
• Karla G Marvich, RN, CNL
• Aimee Marie Marvin
• John Marvin

• All providers in Eugene, OR
• Vision Therapy Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.