DENNIS N MARSHALL (NPI# 1477548220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477548220 |
| Entity Type | Individual |
| Full Name | DENNIS N MARSHALL |
| Credential | O.D., P.A. |
| Practice Address |
1495 Parkway Dr Ste A Blackfoot ID 83221-1639 |
| Mailing Address |
Po Box 40 Blackfoot ID 83221-0040 |
| Practice Telephone | 2087853063 |
| Practice Fax Number | 2087821392 |
| Mailing Telephone | 2087853063 |
| Mailing Fax Number | 2087821392 |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2013-02-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | ODP-652 | ID | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 001261500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164540951 | Dennis R Marshall | Dentist | 1835 Belmont Road, Hood River, OR 97031-1657 | 2007-03-27 |
| 1053412544 | Dennis R Marshall | Dentist | 119 N El Camino Real, #a, Encinitas, CA 92024-5397 | 2006-09-26 |
| 1255300166 | Dennis James Marshall | Specialist | 13 Timberland Dr, Fairbanks, AK 99701-3143 | 2006-03-14 |
| 1063696367 | Dennis Yasuda Marshall | Respiratory Therapist, Registered | 5901 Broken Sound Pkwy, Suite 500, Boca Raton, FL 33487-2773 | 2007-12-21 |
| Street Address |
1495 PARKWAY DR STE A |
| City | BLACKFOOT |
| State | ID |
| Zip Code | 83221-1639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528250180 | Dennis N. Marshall, O.d., P.a. | Optometrist | 1495 Parkway Dr Ste A, Blackfoot, ID 83221-1639 | 2007-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932711165 | Samantha Paige Averett | Social Worker | 60 N Broadway, Blackfoot, ID 83221 | 2020-08-19 |
| 1730711656 | Sara Marie Letham | Family Medicine | 33 S Thompson Lane, Blackfoot, ID 83221 | 2020-02-08 |
| 1962994962 | Tyler Thomas Wood | Student in an Organized Health Care Education/Training Program | 98 Poplar Street, Blackfoot, Id 83221, Blackfoot, ID 83221 | 2018-06-05 |
| 1801336276 | Bmh, Inc. | Internal Medicine | 235 Poplar St, Blackfoot, ID 83221 | 2017-03-03 |
| 1497119804 | Susan Doran | Social Worker | 720 E. Alice, Blackfoot, ID 83221 | 2016-04-12 |
| 1427412121 | Josie Russell Adkins | Counselor | 720 East Alice, Blackfoot, ID 83221 | 2016-04-08 |
| 1740590314 | Ashley Nichole Thomas | Physician Assistant | 710 E. Alice Street, Blackfoot, ID 83221 | 2010-10-18 |
| 1528373313 | Stephanie Lynn Henderson | Dietitian, Registered | 1555 Vernon Ave, Blackfoot, ID 83221 | 2010-08-17 |
| 1184850141 | Joy H. Taylor | Nurse Practitioner | 1441 Parkway Drive, Blackfoot, ID 83221 | 2009-06-04 |
| 1427232925 | Nathan E. Sneddon | Anesthesiology | 98 Poplar St Fl 3, Blackfoot, ID 83221 | 2007-12-20 |
| Find all providers in zip 83221 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477793222 | Complete Family Eye Care, Pa | Optometrist | 34 Se Main St Ste 101, Blackfoot, ID 83221-5094 | 2009-03-05 |
| 1568610574 | Advanced Eyecare of Blackfoot Pllc | Optometrist | 1213 Parkway Dr, Blackfoot, ID 83221-1654 | 2008-09-03 |
| 1215120696 | Lee Brock Wren | Optometrist | 715 W Judicial St, Blackfoot, ID 83221-2036 | 2007-08-20 |
| 1255426912 | Cody E Jones | Optometrist | 34 Se Main St, Ste 101, Blackfoot, ID 83221-5094 | 2006-10-04 |
| 1801997424 | Frederick George Downard | Optometrist | 565 Jensen Grove, Blackfoot, ID 83221 | 2006-09-26 |
| 1326656356 | Cameron Keith Housley | Optometrist | 720 N Meridian St Ste A, Blackfoot, ID 83221-4936 | 2020-07-15 |
| 1336624030 | Bingham Family Vision, LLC | Optometrist | 715 W Judicial St, Blackfoot, ID 83221-2036 | 2018-09-27 |
| 1629464052 | Blackfoot Vision Care Associates | Optometrist | 34 Se Main St, Blackfoot, ID 83221-5094 | 2015-04-13 |
| 1528250180 | Dennis N. Marshall, O.d., P.a. | Optometrist | 1495 Parkway Dr Ste A, Blackfoot, ID 83221-1639 | 2007-08-16 |
| 1114086261 | Stanley Matsuura | Optometrist | 34 Se Main St, Blackfoot, ID 83221-2959 | 2006-12-06 |
| Find all providers in BLACKFOOT | ||||
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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.