MARVIN OPTOMETRY, P.C. (NPI# 1154931517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154931517 |
| Entity Type | Organization |
| Organization Name | MARVIN OPTOMETRY, P.C. |
| Practice Address |
1405 S Hanley Rd Ste B Saint Louis MO 63144-2902 |
| Practice Telephone | 3147039048 |
| Mailing Telephone | 3147039048 |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2020-07-31 |
| Authorized Official Name | ASHLEY MARVIN (OPTOMETRIST/OWNER) |
| Authorized Official Telephone | 6185145268 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Street Address |
1405 S HANLEY RD STE B |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63144-2902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730681214 | Patrick Kojima | Pharmacist | 1520 S. Brentwood Blvd, Saint Louis, MO 63144 | 2018-03-01 |
| 1104257385 | Karen Misty Thornton | Counselor | 1750 S Brentwood Blvd Ste 503, Saint Louis, MO 63144 | 2013-12-12 |
| 1386804433 | Lisa Marie Ross | Social Worker | 2025 S Brentwood, Suite 206, St Louis, MO 63144 | 2008-06-12 |
| 1568667665 | St. Joseph Institute for The Deaf | Speech-Language Pathologist | 1314 Strassner, Brentwood, MO 63144 | 2007-06-19 |
| 1720292030 | Albert A Barton | Social Worker | 2806 S Brentwood Blvdd, St Louis, MO 63144 | 2007-05-09 |
| 1083736243 | Gary Jean Jameson | Chiropractor | 2901 S Brentwood Blvd, St Louis, MO 63144 | 2007-04-06 |
| 1649340662 | Lindsay Michelle Ledbetter | Physical Therapist | 8228 Brentwood Industrial Drive, Brentwood, MO 63144 | 2006-11-08 |
| 1316041627 | Jandhyala Satya Sagar | Internal Medicine | 1400 Strassner Rd, Brentwood, MO 63144 | 2006-09-08 |
| 1396855326 | Jane E Loitman | Internal Medicine | 8044 Manchester Rd, Saint Louis, MO 63144 | 2006-08-31 |
| 1164532289 | Jayne M Scanlan | Physical Therapist | 2937 South Brentwood Blvd, Brentwood, MO 63144 | 2006-08-30 |
| Find all providers in zip 63144 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497379358 | Innovative Occupational Therapy Solutions | Clinic/Center | 1044 Poplar Dr, Saint Louis, MO 63125-5022 | 2020-06-05 |
| 1366089443 | Gilligan Nutrition Counseling LLC | Clinic/Center | 10104 Conway Rd, Saint Louis, MO 63124-1240 | 2019-12-08 |
| 1154853828 | Gifted Touch LLC | Clinic/Center | 1736 Keelen Dr, Saint Louis, MO 63136-2441 | 2017-03-31 |
| 1043694961 | Reaching Out Home Health Care LLC | Clinic/Center | 2324 Hord Ave, Saint Louis, MO 63136-3825 | 2015-07-10 |
| 1720473762 | The Health Company, LLC | Clinic/Center | 1333 Geders Ln, Saint Louis, MO 63122-1633 | 2015-04-06 |
| 1649278896 | La Clinica- Latino Community Health Centers | Clinic/Center | 3646 Fairview Ave, Saint Louis, MO 63116-4747 | 2005-07-12 |
| 1609481696 | Medical Care LLC | Clinic/Center | 5203 Chippewa St Ste 301, Saint Louis, MO 63109-2356 | 2020-09-15 |
| 1821656208 | St. Louis County Dept of Public Health | Clinic/Center | 6121 N Hanley Rd, Saint Louis, MO 63134-2003 | 2019-05-31 |
| 1275019408 | Men's Medical Institute LLC | Clinic/Center | 1062 Old Des Peres Rd, Saint Louis, MO 63131-1865 | 2018-07-11 |
| 1376933002 | Occupational Health Centers of Kansas Pa | Clinic/Center | 3100 Market St, Saint Louis, MO 63103-2528 | 2015-02-03 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63144 |
Please comment or provide details below to improve the information on MARVIN OPTOMETRY, P.C..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.