Individual provider Active NPI

Marilyn Renee Foran, OD

  • Optometrist
  • Endicott, NY
National Provider Identifier
1750345435
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV0053061 Issued in NY
Practice address
1805 E Main St
Endicott, NY 13760-5531
Phone
(607) 748-3434
Fax
(607) 398-3408
NPI assigned
Apr 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV0053061 NY Primary

Addresses

Primary practice location

1805 E Main St
Endicott, NY 13760-5531

Mailing address

207 Madison Ave
Elmira, NY 14901-3204
Phone (607) 734-2984

Other names 1

  • Marilyn Renee Bielinski Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20070316000414 NY Practitioner - Optometry 5294838942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guthrie Medical Group PCGroup PAC ID 6002728656, 795 clinicians

Practice addresses (Care Compare)

1159 Vestal Ave
Binghamton, NY 13903-1606
Phone (607) 722-1755

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005306NYMDClinical Psychologist
TUV0053061NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Guthrie Medical Group, P.C. CurrentSince Dec 1, 2022 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Dec 1, 2022 Accepting new patients
Guthrie Medical Group PC Past Accepting new patients
Binghamton Ophthalmology Associates, P.C. Past Accepting new patients

Locations

1159 Vestal Ave
Binghamton, NY 13903
Phone (607) 722-1755

130 Center Way
Corning, NY 14830
Phone (607) 936-9971

207 Madison Ave
Elmira, NY 14901
Phone (607) 734-2984

1805 E Main St
Endicott, NY 13760
Phone (607) 748-3434

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

Interoperability endpoints

  • Direct secure messaging: mforan182379@direct-guthrie.org

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1750345435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 MADISON AVE",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149013204",
            "telephone_number": "607-734-2984",
            "fax_number": "607-398-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 E MAIN ST",
            "city": "ENDICOTT",
            "state": "NY",
            "postal_code": "137605531",
            "telephone_number": "607-748-3434",
            "fax_number": "607-398-3408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORAN",
        "first_name": "MARILYN",
        "middle_name": "RENEE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-12",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV0053061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARILYN",
            "last_name": "BIELINSKI",
            "middle_name": "RENEE",
            "credential": "OD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Endicott, NY

Sources for this page

Verify at the official NPI Registry.