Individual provider Active NPI

Brian Dean Marshall, O.D.

  • Optometrist
  • Dallas, TX
National Provider Identifier
1740240423
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4373T Issued in TX
Practice address
17000 Preston Rd
Ste 150
Dallas, TX 75248-1233
Phone
(972) 239-1530
Fax
(972) 239-0840
NPI assigned
Mar 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4373T TX Primary

Addresses

Primary practice location

17000 Preston Rd
Ste 150
Dallas, TX 75248-1233

Mailing address

17000 Preston Rd
Ste 150
Dallas, TX 75248
Phone (972) 250-2020

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20140915001355 TX Practitioner - Optometry 3072571546 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marshall Eye CareGroup PAC ID 6709005358, 3 clinicians

Practice addresses (Care Compare)

17000 Preston Rd
Suite 150
Dallas, TX 75248-1233
Phone (972) 239-1530

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4373TXMDChiropractor
4373TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Marshall Eye Care Optometrist CurrentSince Jul 14, 2014 Accepting new patients
A & J Eyecare, Inc. Past Accepting new patients

Locations

17000 Preston Rd
Ste 150
Dallas, TX 75248
Phone (972) 239-1530

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1143244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1740240423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 PRESTON RD",
            "address_2": "STE 150",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75248",
            "telephone_number": "972-250-2020",
            "fax_number": "972-239-0840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17000 PRESTON RD",
            "address_2": "STE 150",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481233",
            "telephone_number": "972-239-1530",
            "fax_number": "972-239-0840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "BRIAN",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-25",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4373T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.