Individual provider Active NPI

Marshall Evans Ward, OD

  • Optometrist
  • Raleigh, NC
National Provider Identifier
1750803805
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2515 Issued in NC
Practice address
7020 Six Forks Rd
Raleigh, NC 27615
Phone
(919) 847-5957
Fax
(919) 846-3951
NPI assigned
Jul 11, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2515 NC Primary

Addresses

Primary practice location

7020 Six Forks Rd
Raleigh, NC 27615

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899

Other practice location 1

6439 Garners Ferry Rd
Columbia, SC 29209-1638
Phone (803) 776-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20180806001796 NC Practitioner - Optometry 8820346976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7020 Six Forks Rd
Raleigh, NC 27615-6430
Phone (919) 847-5957

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2515NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of North Carolina, PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist CurrentSince Jul 16, 2018 Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist CurrentSince Jul 16, 2018 Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist PastSince Aug 18, 2019 Accepting new patients
Myeyedr Optometry of North Carolina Optometrist Past Accepting new patients

Locations

800 W Williams St
Ste 164
Apex, NC 27502
Phone (919) 362-0332

2075 Renaissance Park Pl
Cary, NC 27513
Phone (919) 391-7224

1960 Randolph Rd
Charlotte, NC 28207
Phone (704) 372-5332

1100 Mercantile Dr
Ste 130
Raleigh, NC 27609
Phone (984) 204-6754

7020 Six Forks Rd
Raleigh, NC 27615
Phone (919) 847-5957

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1750803805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "866-795-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7020 SIX FORKS RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27615",
            "telephone_number": "919-847-5957",
            "fax_number": "919-846-3951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6439 Garners Ferry Rd",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292091638",
            "country_code": "US",
            "telephone_number": "803-776-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARD",
        "first_name": "MARSHALL",
        "middle_name": "EVANS",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-11",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.