Neill R Marshall, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

586OD Issued in WV

Practice address

903 3Rd St
New Martinsville, WV 26155-1542

Phone

(304) 455-4300

Fax

(304) 455-4306

NPI assigned

Dec 30, 2005

Last updated

May 27, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Neill R Marshall OD PC

  • Optometrist
  • New Martinsville, WV
  • NPI 1568630770
  Authorized official Same address or phone

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211846400000",
    "number": "1770560674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 219",
            "city": "NEW MARTINSVILLE",
            "state": "WV",
            "postal_code": "261550219",
            "telephone_number": "304-455-4300",
            "fax_number": "304-455-4306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 3RD ST",
            "city": "NEW MARTINSVILLE",
            "state": "WV",
            "postal_code": "261551542",
            "telephone_number": "304-455-4300",
            "fax_number": "304-455-4306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "NEILL",
        "middle_name": "R",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2008-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "586OD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyra Loy
• Anthony Peter Lucia
• Guy Everett Mace
• Sierra Brooke Mace, RN
• Christina Lynn Madden
• Lisa M Martinez
• Martinsville SNF Operations LLC (New Martinsville Health & Rehabilitation)
• Daniel Shane Mason, CCC-A
• Shawnna Lee Matheny
• Shania Mathews

• Optometrist in New Martinsville, WV
• Providers in New Martinsville, WV by specialty
• Optometrist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.