DR. MARC NELSON O.D.
NPI 1295715241
Optometrist in West Berlin, NJ

Active since January 17, 2006PECOS Enrolled
185 N ROUTE 73, WEST BERLIN, NJ 08091(856) 767-5033 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Marc Nelson O.d. NPPES

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

DR. MARC NELSON O.D. (NPI 1295715241) is an individual optometrist in West Berlin, New Jersey, licensed in New Jersey (4802) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1295715241
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MARC NELSONCredential: O.D.
Location Address185 N ROUTE 73West Berlin, NJ 08091-9208
Mailing Address55 Cameo DrCherry Hill, NJ 08003-5127 · (856) 424-5611
Sole ProprietorYes
Medical School CMSOtherGraduated 1987
Enumeration DateJanuary 17, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1295715241 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 NJ · 4802
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.
185 N ROUTE 73, West Berlin, NJ 08091

Other Identifiers 8

Other0834480000NJ · Amerihealth
Other2K0196NJ · Healthnet
Medicaid5223407NJ
Other01000670400NJ · Americhoice
OtherJ023980NJ · Tricare
Medicare ID-Type UnspecifiedNE515158NJ
Other451960NJ · Aetna
Medicare UPINU33424NJ

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Marc Nelson O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618863325
PECOS Enrollment IDI20040227000300
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
91 services91 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
40 services40 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
38 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08091 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Optometrist
185 N ROUTE 73
WEST BERLIN, NJ 08091
Eyewear Supplier
185 N ROUTE 73, SUITE B
WEST BERLIN, NJ 08091
Optometrist
185 N ROUTE 73
WEST BERLIN, NJ 08091

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marc Nelson's NPI number?

The NPI number for Marc Nelson is 1295715241. It was assigned to this individual provider in the NPPES registry on January 17, 2006.

Where is Marc Nelson located?

Marc Nelson practices at 185 N Route 73, West Berlin, NJ 08091. The listed phone number is (856) 767-5033.

What is Marc Nelson's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Marc Nelson enrolled in Medicare?

Yes. Marc Nelson is registered in the Medicare PECOS enrollment system.

What insurance does Marc Nelson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 3 other insurers list Marc Nelson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marc Nelson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.