John J Marcin & Associates PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC2193 Issued in NU

Legal business name

JOHN J MARCIN & ASSOCIATES PA

Practice address

2330 N Wickham Rd
Suite 2
Melbourne, FL 32935-8182

Phone

(321) 253-3333

Fax

(321) 253-1277

NPI assigned

Oct 5, 2006

Last updated

Oct 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John J Marcin, ODNPI 1619076742

Title

President

Phone

(321) 242-3333

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Joseph Marcin, OD

  • Optometrist
  • Melbourne, FL
  • NPI 1619076742
  Medicare reassignment Care Compare group NPD Authorized official
• Lynn Davis Johnson, OD

  • Optometrist
  • Sebastian, FL
  • NPI 1740296763
  Medicare reassignment Care Compare group NPD
• Julie K Kueker, O.D.

  • Optometrist
  • Salem, IL
  • NPI 1437185253
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224115200000",
    "number": "1821184870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 N WICKHAM RD",
            "address_2": "SUITE 2",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329358182",
            "telephone_number": "321-253-3333",
            "fax_number": "321-253-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 N WICKHAM RD",
            "address_2": "SUITE 2",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329358182",
            "telephone_number": "321-253-3333",
            "fax_number": "321-253-1277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN J MARCIN & ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2008-10-16",
        "status": "A",
        "authorized_official_last_name": "MARCIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-242-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": "OPC2193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joe M Creel, DDS, PA
• Joel Scalera DDS PA
• Karl David Johannessen, OD
• John D Mackenney PA (Space Coast Foot & Ankle Center)
• John J Bomalaski MD PA
• Haig Malcom John, DC
• McKenna E Johns
• Nicole Johns
• Zachary Johnsen, LCSW
• Alexis Johnson

• Optometrist in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; 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.