Elizabeth Marie Marshall, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3687 Issued in MN

Practice address

222 1St St SE
Wadena, MN 56482-1567

Phone

(218) 631-2020

NPI assigned

Jun 22, 2020

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

Medicare fee-for-service enrollment

Enrolled in MN

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

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Minnesota Eyecare Network, Inc.Group PAC ID 6608854526, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Minnesota Eyecare Network, Inc

  • Optometrist
  • Perham, MN
  • NPI 1407960651
  Medicare reassignment Care Compare group NPD
• Wadena Eye Clinic LTD

  • Optometrist
  • Wadena, MN
  • NPI 1669565412
  Medicare reassignment NPD
• Minnesota Eyecare Network, Inc

  • Optometrist
  • Long Prairie, MN
  • NPI 1750495925
  NPD
• Minnesota Eyecare Network, Inc

  • Optometrist
  • Pelican Rapids, MN
  • NPI 1457465296
  NPD (past)
• Minnesota Eyecare Network, Inc.

  • Optometrist
  • Wadena, MN
  • NPI 1689788846
  NPD (past)

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1992321335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 1ST ST SE",
            "city": "WADENA",
            "state": "MN",
            "postal_code": "564821567",
            "telephone_number": "218-631-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 1ST ST SE",
            "city": "WADENA",
            "state": "MN",
            "postal_code": "564821567",
            "telephone_number": "218-631-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "ELIZABETH",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-22",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Macayla Rose Lindenfelser, NP-C
• Rose Ann Lorentz, A-G NP
• LSS Home Health and Hospice, LLC
• LSS of Wadena, LLC
• Zachary Lundgren, OD
• Brooke Martinez, M.S. LMFT
• James H Matthiae, DDS
• Tori Corrine Ione McDougald
• Mertens Drug Inc
• Michael Frank Mertens, RPH

• Optometrist in Wadena, MN
• Providers in Wadena, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; 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.