Marcie L. Koontz O.D. PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MARCIE L. KOONTZ O.D. PLLC

Practice address

8180 S Tryon St
Charlotte, NC 28273-3325

Phone

(704) 588-8609

Fax

(704) 588-8043

NPI assigned

Sep 23, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Marcie L Koontz, O.D.NPI 1669621553

Title

Owner

Phone

(814) 442-0437

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marcie Lyn Koontz, O.D.

  • Optometrist
  • Monroe, NC
  • NPI 1669621553
  NPD (past) Authorized official

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253664000000",
    "number": "1861726861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 W TRADE ST",
            "address_2": "SUITE 1201",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282021944",
            "telephone_number": "814-442-0437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8180 S TRYON ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282733325",
            "telephone_number": "704-588-8609",
            "fax_number": "704-588-8043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCIE L. KOONTZ O.D. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-23",
        "last_updated": "2009-09-23",
        "status": "A",
        "authorized_official_last_name": "KOONTZ",
        "authorized_official_first_name": "MARCIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-442-0437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacia Jackson Marcellin, LCSW
• Alyssa Marchand, MA, LCMHC
• Jennifer Marchesani Keyvan, PSYD
• Ashley Marchi, DPT
• Heidi C Marciano, D.O.
• Marco Chiropractic, PLLC
• Stephen P Marco, D.C.
• Michael A Marconi, OPA
• Sarah Lang Marconi, PHARMD
• Marcus a. Bond DDS PLLC (Allure Dentistry)

• Clinic/Center in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; 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.