Individual provider Active NPI

Philip Wayne Marler, OD

  • Optometrist
  • Carthage, MS
National Provider Identifier
1831181437
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
605 Issued in MS
Practice address
201 Hwy 16 E
Carthage, MS 39051
Phone
(601) 267-9351
Fax
(601) 267-9004
NPI assigned
Aug 19, 2005
Last updated
Jan 6, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 605 MS Primary
Corneal and Contact Management Optometrist 152WC0802X 605 MS

Addresses

Primary practice location

201 Hwy 16 E
Carthage, MS 39051

Mailing address

PO Box 911
Carthage, MS 39051-0911
Phone (601) 267-9351

Other identifiers 3

IdentifierTypeStateIssuer
5196240001OtherMSDMERC NUMBER
00880054MedicaidMS
P00079224OtherMSRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20110104000699 MS Practitioner - Optometry 2961512223 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carthage Eye Clinic PAGroup PAC ID 7719065713, 3 clinicians

Practice addresses (Care Compare)

201 Hwy 16 E
Carthage, MS 39051-4203
Phone (601) 267-9351

Merit-based Incentive Payment System (MIPS)

Final score
94.22 of 100Reported as individual
Quality
88.44
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1187LAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Eye Care of Flowood, PA Optometrist CurrentSince Sep 1, 2019 Accepting new patients
Carthage Eye Clinic PA Optometrist CurrentSince Oct 1, 2001 Accepting new patients
Southern Eye Care of Forest Optometrist PastSince Jul 28, 2014 Accepting new patients

Locations

201 Highway 16 E
Carthage, MS 39051
Phone (601) 267-9351

330 Ridge Way
Flowood, MS 39232
Phone (601) 992-1010

Interoperability endpoints

  • Direct secure messaging: drmarler@carthageeyeclinic.eyefinity-direct.com

Organizations & group practices 4

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": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294272000000",
    "number": "1831181437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911",
            "city": "CARTHAGE",
            "state": "MS",
            "postal_code": "390510911",
            "telephone_number": "601-267-9351",
            "fax_number": "601-267-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 HWY 16 E",
            "city": "CARTHAGE",
            "state": "MS",
            "postal_code": "39051",
            "telephone_number": "601-267-9351",
            "fax_number": "601-267-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARLER",
        "first_name": "PHILIP",
        "middle_name": "WAYNE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2011-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "605",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MS",
            "license": "605",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC NUMBER",
            "identifier": "5196240001",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00880054",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00079224",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carthage, MS

Sources for this page

Verify at the official NPI Registry.