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DR. JAMES LEWIS MARSHALL OD
NPI 1306837687
Optometrist in Albemarle, NC

Active since November 04, 2005PECOS EnrolledAccepts Medicare Assignment
1003 N 1ST ST, ALBEMARLE, NC 28001(704) 983-2202(704) 982-2202 Get Directions Write a Review

NPPES record last updated: January 31, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. James Lewis Marshall Od NPPES

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

DR. JAMES LEWIS MARSHALL OD (NPI 1306837687) is an individual optometrist in Albemarle, North Carolina, licensed in North Carolina (1005) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (1979).

NPPES Registry Identity

NPI1306837687
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JAMES LEWIS MARSHALLCredential: OD
Location Address1003 N 1ST STAlbemarle, NC 28001-2805
Mailing Address1003 N 1st StAlbemarle, NC 28001-2805 · (704) 983-2202 · Fax (704) 982-2202
Phone(704) 983-2202
Fax(704) 982-2202
Sole ProprietorYes
Medical School CMSOhio State University - College Of OptometryGraduated 1979
Enumeration DateNovember 4, 2005
Last NPPES UpdateJanuary 31, 2008
✔ NPI 1306837687 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 NC · 1005
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.
1003 N 1ST ST, Albemarle, NC 28001
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Other Identifiers 5

Other09544NC · Bcbs
Medicare ID-Type Unspecified246312NC
Medicaid8909544NC
Medicare NSC0148400001NC
Medicare UPINT64857NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. James Lewis Marshall Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052425535
PECOS Enrollment IDI20101104000513
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.
174 services163 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
166 services59 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28001 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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

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

DR. JAMES L. MARSHALL
Eyewear Supplier
1003 N 1ST ST
ALBEMARLE, NC 28001
Stanly County (704) 983-2202

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 James Marshall's NPI number?

The NPI number for James Marshall is 1306837687. It was assigned to this individual provider in the NPPES registry on November 4, 2005.

Where is James Marshall located?

James Marshall practices at 1003 N 1st St, Albemarle, NC 28001. The listed phone number is (704) 983-2202.

What is James Marshall's specialty?

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

Is James Marshall enrolled in Medicare?

Yes. James Marshall is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does James Marshall accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 2 other insurers list James Marshall 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 James Marshall was last updated on January 31, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.