Organization Active NPI

Marvel Speciality Care Services Inc

  • Optician
  • Upper Darby, PA
National Provider Identifier
1689347957
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
MARVEL SPECIALITY CARE SERVICES INC
Practice address
8232 W Chester Pike
Upper Darby, PA 19082-2723
Phone
(610) 789-2700
Fax
(610) 789-1865
NPI assigned
Jul 31, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Authorized official

Name
Sayekhul Islam
Title
Owner
Phone
(610) 789-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X Primary

Addresses

Primary practice location

8232 W Chester Pike
Upper Darby, PA 19082-2723

Mailing address

8232 W Chester Pike
Upper Darby, PA 19082-2723
Phone (610) 789-2700

Other names 1

  • Marvel Vision Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL marvelvisions.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220923002710 PA Part B Supplier - Clinic/Group Practice 9234514407 Receives reassigned benefits from 1 practitioner
Practice locations: Upper Darby, PA

National Provider Directory

National Provider Directory

Locations

8232 W Chester Pike
Upper Darby, PA 19082
Phone (610) 789-2700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1627689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664841600000",
    "number": "1689347957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8232 W CHESTER PIKE",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190822723",
            "telephone_number": "610-789-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8232 W CHESTER PIKE",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190822723",
            "telephone_number": "610-789-2700",
            "fax_number": "610-789-1865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARVEL SPECIALITY CARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-31",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A",
        "authorized_official_last_name": "ISLAM",
        "authorized_official_first_name": "SAYEKHUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-789-2700"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "marvelvisions.com",
            "affiliation": "N",
            "address_1": "8232 W Chester Pike",
            "city": "Upper Darby",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190822723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Marvel Vision Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Marvel Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Upper Darby, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.