Lawrence Marshall, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

8278T Issued in CA

Practice address

28142 S Western Ave
San Pedro, CA 90732-1248

Phone

(310) 832-2020

Fax

(310) 832-0342

NPI assigned

Dec 22, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367366400000",
    "number": "1851456586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28142 S WESTERN AVE",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907321248",
            "telephone_number": "310-832-2020",
            "fax_number": "310-832-0342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28142 S WESTERN AVE",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907321248",
            "telephone_number": "310-832-2020",
            "fax_number": "310-832-0342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2013-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8278T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0082780",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marine Therapeutic
• Yvonne Marinkovich, D.C.
• Mark Perez , M.D.
• Mark Perez MD
• Donna Revae Mark
• Daniel Martin
• David R Martin, D.D.S.
• Elmer Garnel Martin, DMD
• Jazmyne Martin
• Linda Carrie Martin, MEDICAL SKIN CARE SP

• Optometrist in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.