MR. CARL D MARSHALL (NPI# 1912026402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912026402 |
Entity Type | Individual |
Full Name | MR. CARL D MARSHALL |
Credential | LICENSED OPTICIAN |
Practice Address |
26 Hospital Hill Rd Sharon CT 06069 |
Practice Telephone | 8603640878 |
Practice Fax Number | 8603642284 |
Mailing Telephone | 8603640878 |
Mailing Fax Number | 8603642284 |
Enumeration Date | 2007-03-28 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
000691 | CT | Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
UT | SPECTERA | 13392 | 01 |
CT | ANTHEM BC BS | 100000691CT03 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417213521 | Carl Byron Marshall | Physician Assistant | 25959 130th Pl Se, Kent, WA 98030-7927 | 2012-04-03 |
Street Address |
26 HOSPITAL HILL RD |
City | SHARON |
State | CT |
Zip Code | 06069 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003017757 | Elizabeth Anne Dekker | Dentist | 344 Gay Str, Sharon, CT 06069 | 2007-05-30 |
1629114376 | Andrew Michael Goldman | Neuromusculoskeletal Medicine & OMM | 106 Upper Main St, Sharon, CT 06069 | 2007-01-29 |
1780741249 | Charles S Mirabile Jr. | Psychiatry & Neurology | 18 Upper Main St, Sharon, CT 06069 | 2007-01-03 |
1881785301 | Susan D Shannon | Advanced Practice Midwife | 50 America Rd, Sharon, CT 06069 | 2006-09-28 |
1265523781 | Robert Schnurr | Obstetrics & Gynecology | 50 Amenia Road, Sharon, CT 06069 | 2006-09-28 |
1669583852 | Sara Ellen Cousins | Social Worker | 5 Calkinstown Rd, Sharon, CT 06069 | 2006-08-31 |
1023126356 | Roseanne Mckinnon | Social Worker | 200 Cornwall Bridge Rd, Sharon, CT 06069 | 2006-08-28 |
1629013123 | Andrew S Whyte | Emergency Medicine | 50 Hospital Hill Dr, Er Department, Sharon, CT 06069 | 2006-06-18 |
1720023294 | Richard A Bennek | Emergency Medicine | 50 Hospital Hill Drive, Er Department, Sharon, CT 06069 | 2006-06-18 |
1538132972 | Jerome K Roth Jr. | Urology | 17 Hospital Hill Rd, Sharon, CT 06069 | 2006-02-08 |
Find all providers in zip 06069 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528677481 | Ronald Haas Jr. | Technician/Technologist | 24 Pennsylvania Ave, Niantic, CT 06357-3231 | 2020-07-27 |
1982223293 | Sonya Voytas Maher | Technician/Technologist | 1197 Main Street, Coventry, CT 06109 | 2020-04-16 |
1134754294 | Dorothy Reynolds | Technician/Technologist | 2480 Black Rock Tpk, Fairfield, CT 06825-2406 | 2020-03-10 |
1881228237 | Rene R Rivard | Technician/Technologist | 639 Park Rd Ste 100, West Hartford, CT 06107-3443 | 2020-02-25 |
1588203301 | Rebecca Eneida Soto | Technician/Technologist | 20 Pasco Drive Suit A, East Windsor, CT 06088 | 2019-12-26 |
1376007419 | Green Valley Optical, LLC | Technician/Technologist | 21 Putnam Pike, Dayville, CT 06241 | 2019-01-23 |
1881115657 | Ashley Marie Holodnak | Technician/Technologist | 130 Amity Road, New Haven, CT 06515-0651 | 2017-07-03 |
1215480785 | George Hatsian | Technician/Technologist | 4 High Hill Cir, Weatogue, CT 06089-9728 | 2016-08-01 |
1093176141 | Kathleen G Domek | Technician/Technologist | 150 Barnum Avenue Cut Off, Stratford, CT 06614 | 2016-03-17 |
1942660220 | James Valinsky | Technician/Technologist | 240 Swain Ave, Meriden, CT 06450-7218 | 2016-03-01 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on MR. CARL D MARSHALL.
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.