Organization Active NPI

Eugene W. Marley, O.D. PLLC

  • Optometrist
  • Benbrook, TX
National Provider Identifier
1700245214
Registry record updated Feb 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3813T Issued in TX
Legal business name
EUGENE W. MARLEY, O.D. PLLC
Practice address
1517 Trammell Dr
Benbrook, TX 76126-3828
Phone
(817) 249-2285
NPI assigned
Feb 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2016

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

Authorized official

Name
Eugene W. Marley
Title
Manager
Phone
(817) 249-2285

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3813T TX Primary

Addresses

Primary practice location

1517 Trammell Dr
Benbrook, TX 76126-3828

Mailing address

1517 Trammell Dr
Benbrook, TX 76126-3828
Phone (817) 249-2285

National Provider Directory

National Provider Directory

Locations

239 W Jefferson Blvd
Ste B
Dallas, TX 75208
Phone (214) 943-7604

NPI Registry JSON

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

{
    "created_epoch": "1455235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455235200000",
    "number": "1700245214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 TRAMMELL DR",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761263828",
            "telephone_number": "817-249-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 TRAMMELL DR",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761263828",
            "telephone_number": "817-249-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENE W. MARLEY, O.D. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-12",
        "last_updated": "2016-02-12",
        "status": "A",
        "authorized_official_last_name": "MARLEY",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "817-249-2285"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3813T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benbrook, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2016; 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.