John Randolph Marcev, M.S., O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

690 Issued in MS

Practice address

6117 U S Highway 98
Suite 20
Hattiesburg, MS 39402-8654

Phone

(601) 264-2006

Fax

(601) 264-9030

NPI assigned

May 17, 2006

Last updated

Jun 20, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

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

Nova Southeastern Univ College of Dental Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Eye Examiners, Inc.

  • Optometrist
  • Hattiesburg, MS
  • NPI 1285685230
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1750333555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18516",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394048460",
            "telephone_number": "601-264-2006",
            "fax_number": "601-261-3063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6117 U S HIGHWAY 98",
            "address_2": "SUITE 20",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394028654",
            "telephone_number": "601-264-2006",
            "fax_number": "601-264-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCEV",
        "first_name": "JOHN",
        "middle_name": "RANDOLPH",
        "name_prefix": "Dr.",
        "credential": "M.S., O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03951894",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonae Mann
• Mandip Kaur Mann, MD
• Maxie B Manning, PT
• Josiah Marcellino, DO
• Deborah J Marcev, OD
• March HCT
• George Alex Marchbanks, OD
• Meagan Marchioni
• Jennifer Alline Marcucci, LMT 1415
• Jonathan Brockmeyer Mardis, DNP, CRNA

• Optometrist in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; 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.