Marianna Tereschenko, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA05891 Issued in NJ

Practice address

112 Eisenhower Pkwy
C/O Lenscrafters
Livingston, NJ 07039-4995

Phone

(973) 535-1171

NPI assigned

Oct 3, 2006

Last updated

Jul 29, 2008By the provider in NPPES

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 NJ

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

Specialty

Optometry

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Centers of America LLCGroup PAC ID 7315125184, 127 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Anderson Vision

  • Optometrist
  • Cliffside Park, NJ
  • NPI 1215759055
  Medicare reassignment NPD Authorized official
• Eye Centers of America, LLC

  dba Retina Center of New Jersey

  • Ophthalmology Physician
  • Bloomfield, NJ
  • NPI 1649563636
  Medicare reassignment Care Compare group NPD
• Movshovich PC

  • Ophthalmology Physician
  • Cliffside Park, NJ
  • NPI 1184734204
  NPD

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217289600000",
    "number": "1740374982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 EISENHOWER PKWY",
            "address_2": "C/O LENSCRAFTERS",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394995",
            "telephone_number": "973-535-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 EISENHOWER PKWY",
            "address_2": "C/O LENSCRAFTERS",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394995",
            "telephone_number": "973-535-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERESCHENKO",
        "first_name": "MARIANNA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA05891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynn Tauber
• Eva Tawiah, LCSW
• Sharon D Taylor, MS, OTR
• Jessica Grace Tecson, APRN
• Jenniferr Temple, APN
• Dom Terrone, M.D.
• Ostap Tershakovec, DDS
• Fred W Teschemacher Jr., DMD
• Zina Tessema, M.D.
• The Arc of Essex County Inc.

• Optometrist in Livingston, NJ
• Providers in Livingston, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.