MARVIN L HALL (NPI# 1285674655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285674655 |
| Entity Type | Individual |
| Full Name | MARVIN L HALL |
| Credential | MD |
| Practice Address |
21 Park Pl Appleton WI 54914-8872 |
| Practice Telephone | 9207394361 |
| Practice Fax Number | 9207396368 |
| Mailing Telephone | 9207394361 |
| Mailing Fax Number | 9207396368 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2013-03-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 22383 | WI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679089460 | Marvin Douglas Hall Jr. | Specialist/Technologist, Other | 501 Darby Creek Rd, Lexington, KY 40509-1604 | 2017-12-16 |
| 1427094507 | Marvin N Hall | Pediatrics | 910 Blackford St, Chattanooga, TN 37403-1405 | 2006-06-20 |
| Street Address |
21 PARK PL |
| City | APPLETON |
| State | WI |
| Zip Code | 54914-8872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689231649 | Mindy Lynn Harrington | Optometrist | 21 Park Pl, Appleton, WI 54914-8872 | 2019-05-24 |
| 1043646623 | Katie Abata | Optometrist | 21 Park Pl, Appleton, WI 54914-8872 | 2013-09-16 |
| 1568758183 | Ross Anthony Jensen | Optometrist | 21 Park Pl, Appleton, WI 54914-8872 | 2011-06-22 |
| 1982850475 | Ryan P. Tetting | Optometrist | 21 Park Pl, Appleton, WI 54914-8872 | 2008-08-15 |
| 1033373600 | Douglas Francis Salm | Ophthalmology | 21 Park Pl, Appleton, WI 54914-8872 | 2008-07-14 |
| 1255465738 | Park Place Optical, Ltd | Technician/Technologist | 21 Park Pl, Appleton, WI 54914-8872 | 2007-03-15 |
| 1275617300 | Sara Davis Schalk | Optometrist | 21 Park Pl, Appleton, WI 54914-8872 | 2006-10-25 |
| 1346250826 | Daniel Thaddeus Nowak | Optometrist | 21 Park Pl, Appleton, WI 54914-8872 | 2006-08-08 |
| 1033129515 | Kimberly Landwehr | Optometrist | 21 Park Pl, Appleton, WI 54914-8872 | 2006-08-08 |
| 1528078011 | Colleen Corbett | Ophthalmology | 21 Park Pl, Appleton, WI 54914-8872 | 2006-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572429 | Claire Schuh | Social Worker | 3416 Association Ln, Appleton, WI 54914 | 2020-09-09 |
| 1568099729 | Access Elevator, Inc. | Contractor | 1314 W. College Ave, Appleton, WI 54914 | 2020-03-26 |
| 1124677885 | Sharon Darla Cornell | Technician | 3117 N. Mistwood Lane, Appleton, WI 54914 | 2019-09-05 |
| 1235647793 | Midwest Monitoring, LLC | Psychiatry & Neurology | 4321 W College Ave Ste 200, Appleton, WI 54914 | 2018-01-18 |
| 1356863252 | Uvanta Pharmacy LLC | Pharmacy | 1050 S Grider St, Suite C, Appleton, WI 54914 | 2017-07-12 |
| 1255860912 | Appleton Counseling Management LLC | Counselor | 477 S Nicolet Rd., Appleton, WI 54914 | 2017-06-07 |
| 1609269489 | Shane Scott Urban | Social Worker | 444 N. Westhill Blvd., Appleton, WI 54914 | 2015-03-18 |
| 1699184580 | Michelle Becker | Nurse Practitioner | 4435 West Lawrence St., Appleton, WI 54914 | 2014-08-05 |
| 1972857514 | Jean Flesch | Pharmacist | 1000 W. Northland Ave., Appleton, WI 54914 | 2012-11-05 |
| 1477845147 | Mallory Barbara Herrin | Counselor | 820 W. College Ave, Appleton, WI 54914 | 2011-05-12 |
| Find all providers in zip 54914 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982788030 | Avery Delvin Alexander | Ophthalmology | 250 N Metro Drive, Alexander Eye Institute, Appleton, WI 54913 | 2006-10-25 |
| 1316969363 | Fox Cities Eye Clinic, Sc | Ophthalmology | 1301 E Northland Ave Ste A, Appleton, WI 54911-8582 | 2006-07-25 |
| 1164416160 | Kathy A Vogel | Ophthalmology | 1411 N Briarcliff Dr, Appleton, WI 54915-2842 | 2005-09-06 |
| 1033373600 | Douglas Francis Salm | Ophthalmology | 21 Park Pl, Appleton, WI 54914-8872 | 2008-07-14 |
| 1740317841 | Alexander Eye Institute, Sc | Ophthalmology | 250 N Metro Drive, Appleton, WI 54913-8571 | 2007-02-27 |
| 1447347190 | Robert D Sullivan | Ophthalmology | 1195 N Casaloma Dr, Appleton, WI 54913-9295 | 2006-10-06 |
| 1528078011 | Colleen Corbett | Ophthalmology | 21 Park Pl, Appleton, WI 54914-8872 | 2006-08-08 |
| 1699789032 | Valley Eye Associates | Ophthalmology | 21 Park Pl, Appleton, WI 54914-8872 | 2006-07-29 |
| 1750319448 | James Carter Syverud | Ophthalmology | 21 Park Pl, Appleton, WI 54914-8872 | 2006-06-29 |
| 1407883838 | Micheal Paul Vrabec | Ophthalmology | 21 Park Pl, Appleton, WI 54914-8872 | 2006-06-28 |
| Find all providers in APPLETON | ||||
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| 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.