Jose Marin Jr., OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2591ATI Issued in OR

Practice address

901 N Brutscher St Ste E
Newberg, OR 97132

Phone

(803) 554-5555

Fax

(503) 538-1896

NPI assigned

Sep 12, 2006

Last updated

Sep 14, 2010By 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

Not listed in the public Medicare enrollment file

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.

• Newberg Family Eye Care LLC

  dba Newberg Family Eye Care

  • Optometrist
  • Newberg, OR
  • NPI 1477174670
  NPD

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284422400000",
    "number": "1750485314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 N BRUTSCHER ST STE E",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "97132",
            "telephone_number": "803-554-5555",
            "fax_number": "503-538-1896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N BRUTSCHER ST STE E",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "97132",
            "telephone_number": "803-554-5555",
            "fax_number": "503-538-1896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIN",
        "first_name": "JOSE",
        "name_suffix": "Jr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2010-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2591ATI",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150665",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rick Mai
• Saiko Mair, MS, ATC
• Jacob Malpass, D.C.
• Maya Jane Manka, M.D.
• Ussah Manyrath
• Cindy Marino
• Mark E. Barnard, D.M.D., PC
• Marquis Companies I, Inc. (Marquis Newberg)
• Karissa Marugg
• Mary Massey

• Optometrist in Newberg, OR
• Providers in Newberg, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.