Active NPI
Marcus Jones
- Optician
- Austin, TX
National Provider Identifier
1740438662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 263146320
- Practice address
- 5811 Berkman Dr
121
Austin, TX 78723-2666 - Phone
- (512) 926-2400
- Fax
- (512) 926-2608
- NPI assigned
- Sep 4, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 263146320 | TX | Primary |
Addresses
Primary practice location
5811 Berkman Dr
121
Austin, TX 78723-2666
Mailing address
5811 Berkman Dr
121
Austin, TX 78723-2666
Phone (512) 926-2400
Other names 1
- Ideal Optical
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 263146320 | TX | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220486400000",
"number": "1740438662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5811 BERKMAN DR",
"address_2": "121",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787232666",
"telephone_number": "512-926-2400",
"fax_number": "512-926-2608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5811 BERKMAN DR",
"address_2": "121",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787232666",
"telephone_number": "512-926-2400",
"fax_number": "512-926-2608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "MARCUS",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-04",
"last_updated": "2008-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "TX",
"license": "263146320",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "IDEAL",
"last_name": "OPTICAL",
"credential": "IDEAL OPTICAL",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.