Individual provider Active NPI

Marshall Dennis Palmer, O.D.

  • Optometrist
  • Safford, AZ
National Provider Identifier
1932185758
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1473 Issued in AZ
Practice address
620 S Central Ave
Safford, AZ 85546-2647
Phone
(928) 428-0500
Fax
(928) 428-0500
NPI assigned
Dec 22, 2005
Last updated
May 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1473 AZ Primary

Addresses

Primary practice location

620 S Central Ave
Safford, AZ 85546-2647

Mailing address

620 S Central Ave
Safford, AZ 85546-2647
Phone (928) 428-0500

Other practice location 1

825 S 20th Ave
Safford, AZ 85546-3317
Phone (928) 428-6930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20080731000356 AZ Practitioner - Optometry 1355415910 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwestern Eye Center LTDGroup PAC ID 1850296989, 116 clinicians

Practice addresses (Care Compare)

780 W Rex Allen Dr
Willcox, AZ 85643-1140
Phone (520) 384-2427

825 S 20TH Ave
Safford, AZ 85546-3317
Phone (928) 428-6930

Merit-based Incentive Payment System (MIPS)

Final score
83.86 of 100Reported as group
Quality
81.82
Promoting interoperability
100
Improvement activities
40
Cost
64.4

Merit-based Incentive Payment System (MIPS)

Final score
88.66 of 100Reported as group
Quality
84.9
Promoting interoperability
100
Improvement activities
40
Cost
77.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1473AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Vision Care Arizona PLLC Optometrist CurrentSince Jun 13, 2023 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC CurrentSince Sep 1, 2008 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC Current Accepting new patients
Southwestern Eye Center LTD CurrentSince Oct 1, 2023 Accepting new patients
Family First Vision Care Arizona PLLC Optometrist CurrentSince Jun 13, 2023 Accepting new patients
Southwestern Eye Center, LTD Optometrist CurrentSince Oct 1, 2023 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC CurrentSince Sep 1, 2008 Accepting new patients

Locations

3003 Highway 95
Ste 63
Bullhead City, AZ 86442
Phone (928) 763-7555

270 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-4202

350 N Switzer Canyon Dr
Flagstaff, AZ 86001
Phone (928) 779-0500

1151 S La Canada Dr
Ste 200
Green Valley, AZ 85614
Phone (520) 625-8562

4760 E Falcon Dr
Ste 101
Mesa, AZ 85215
Phone (480) 985-7400

1055 S Stapley Dr
Mesa, AZ 85204
Phone (480) 833-9100

1114 S Higley Rd
Mesa, AZ 85206
Phone (480) 264-2295

937 N Dobson Rd
Ste 102
Mesa, AZ 85201
Phone (480) 649-6100

4800 N 22nd St
Ste 120
Phoenix, AZ 85016

4800 N 22nd St
Phoenix, AZ 85016
Phone (602) 508-4843

825 S 20th Ave
Safford, AZ 85546
Phone (928) 428-6930

2370 W State Route 89A
Ste 16A17A18
Sedona, AZ 86336
Phone (928) 282-1231

1610 S White Mountain Rd
Show Low, AZ 85901
Phone (928) 537-3937

75 Colonia de Salud
Ste 100A
Sierra Vista, AZ 85635
Phone (520) 459-6860

5632 E 5th St
Tucson, AZ 85711
Phone (520) 584-8888

698 E Wetmore Rd
Ste 100
Tucson, AZ 85705
Phone (520) 690-5707

780 W Rex Allen Dr
Willcox, AZ 85643
Phone (520) 384-2285

275 W 28th St
Yuma, AZ 85364
Phone (928) 329-5011

2149 W 24th St
Yuma, AZ 85364
Phone (928) 726-1100

316 S Hamilton Rd
Gahanna, OH 43230

Interoperability endpoints

  • Direct secure messaging: marshall.palmer.p11@direct.avp.nextgenshare.com
  • Direct secure messaging: marshall.palmer.p20@direct.avp.nextgenshare.com

Organizations & group practices 7

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": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1932185758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 S CENTRAL AVE",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855462647",
            "telephone_number": "928-428-0500",
            "fax_number": "928-428-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 S CENTRAL AVE",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855462647",
            "telephone_number": "928-428-0500",
            "fax_number": "928-428-0500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 S 20th Ave",
            "address_purpose": "LOCATION",
            "city": "Safford",
            "state": "AZ",
            "postal_code": "855463317",
            "country_code": "US",
            "telephone_number": "928-428-6930",
            "fax_number": "928-428-7272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALMER",
        "first_name": "MARSHALL",
        "middle_name": "DENNIS",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Safford, AZ

Sources for this page

Verify at the official NPI Registry.