Mackenzie Hollis Marston, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1893-829AT Issued in LA

Practice address

1004 W Highway 30
Gonzales, LA 70737-5001

Phone

(225) 647-4430

NPI assigned

Jul 23, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mackenzie Hollis Marston Professional name

Medicare fee-for-service enrollment

Enrolled in LA

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Accent Optical, Inc.

  • Eyewear Supplier
  • Gonzales, LA
  • NPI 1659551232
  Medicare reassignment NPD

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1831742352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 BULLRUSH DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708105219",
            "telephone_number": "225-572-3759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 W HIGHWAY 30",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707375001",
            "telephone_number": "225-647-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIS MARSTON",
        "first_name": "MACKENZIE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-23",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1893-829AT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MACKENZIE",
            "last_name": "HOLLIS MARSTON",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Heather Ann Hofmann
• Triniti Holland
• Hollier Physical Therapy, Inc.
• Charles E Hollier, P.T.
• Heather Marks Hollier, LOTR
• Robert John Holt, PHARMD
• Ashley Hooper
• Courtney Lynn Hope-Bourgeois, PT, DPT
• Haley Elizabeth Horton, SLP
• Rachel Crowder Hosse

• Optometrist in Gonzales, LA
• Providers in Gonzales, LA by specialty
• Optometrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.