Socrates Maroudis OD PSC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1722DT Issued in KY

Legal business name

SOCRATES MAROUDIS OD PSC

Practice address

1201 13TH St
Ashland, KY 41101-2607

Phone

(606) 329-1404

NPI assigned

Jul 17, 2009

Organization subpart

No

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

Authorized official

Name

Socrates Maroudis, ODNPI 1073792651

Title

President

Phone

(606) 329-1404

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Phillip Maroudis OD PSC & John Morton PTR

  • Optometrist
  • Ashland, KY
  • NPI 1255481669

  Member Of

  NPD member

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Socrates Maroudis, O.D.

  • Optometrist
  • Ashland, KY
  • NPI 1073792651
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1247788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247788800000",
    "number": "1760612360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 13TH ST",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 13TH ST",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012607",
            "telephone_number": "606-329-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCRATES MAROUDIS OD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-17",
        "last_updated": "2009-07-17",
        "status": "A",
        "authorized_official_last_name": "MAROUDIS",
        "authorized_official_first_name": "SOCRATES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-329-1404",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1722DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Smith
• Peter Berk Smith, LPCC
• Sara Rose Smith
• Tiffany Smith
• Daffeny Sneed
• Jess Daniel Songer, DPM
• Sonia Chopra MD PSC
• Bobbi Sue Soper, TCADC, MSP
• Michelle Sorrell
• Sara L Sorrell, PA

• Optometrist in Ashland, KY
• Providers in Ashland, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.