STEPHEN RANDALL MARION OD
NPI 1205887932
Optometrist in Fort Atkinson, WI

Active since May 15, 2006
1100 MADISON AVE, FORT ATKINSON, WI 53538(920) 563-8468(920) 563-0178 Get Directions Write a Review

NPPES record last updated: May 5, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Stephen Randall Marion Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHEN RANDALL MARION OD (NPI 1205887932) is an individual optometrist in Fort Atkinson, Wisconsin, licensed in Wisconsin (1417-035) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1205887932
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameSTEPHEN RANDALL MARIONCredential: OD
Location Address1100 MADISON AVEFort Atkinson, WI 53538-1374
Mailing Address1100 Madison AveFort Atkinson, WI 53538-1374 · (920) 563-8468 · Fax (920) 563-0178
Fax(920) 563-0178
Sole ProprietorNo
Enumeration DateMay 15, 2006
Last NPPES UpdateMay 5, 2008
NPI 1205887932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in WI · 1417-035
Definition

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.

1100 MADISON AVE, Fort Atkinson, WI 53538

Other Identifiers 8

Medicare PIN000347795WI
Other2149813WI · United Healthcare
Other1560WI · Dean Health Insurance
Medicare UPINT62680
Medicaid38572400WI
Medicare PIN410046709WI
Other1006590WI · Physicians Plus
OtherMARIOSRAWI · Mercycare

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dental Hygienist
1100 MADISON AVE
FORT ATKINSON, WI 53538
Dentist
1100 MADISON AVE
FORT ATKINSON, WI 53538
Dentist
1100 MADISON AVE
FORT ATKINSON, WI 53538

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205887932, enumerated as an "individual" on May 15, 2006.

The provider is located at 1100 MADISON AVE FORT ATKINSON, WI 53538 and the phone number is (920) 563-8468.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.