MARSH OPTICAL BOUTIQUE INC.
NPI 1811104375
Optometrist in Fresh Meadows, NY

Active since May 16, 2007
18012 UNION TPKE, FRESH MEADOWS, NY 11366(718) 380-5353(718) 380-5396 Get Directions Write a Review

NPPES record last updated: September 30, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Marsh Optical Boutique Inc. NPPES

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

MARSH OPTICAL BOUTIQUE INC. (NPI 1811104375) is a healthcare organization registered as an optometrist in Fresh Meadows, New York and active in the NPI registry since May 2007. The organization lists Wendy Marsh, Owner, as its authorized official.

NPPES Registry Identity

NPI1811104375
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameMARSH OPTICAL BOUTIQUE INC.
Location Address18012 UNION TPKEFresh Meadows, NY 11366-1620
Mailing Address18012 Union TpkeFresh Meadows, NY 11366-1620 · (718) 380-5353 · Fax (718) 380-5396
Fax(718) 380-5396
Organization SubpartNo
Authorized OfficialWendy MarshOwner · (718) 380-5353
Enumeration DateMay 16, 2007
Last NPPES UpdateSeptember 30, 2014
✔ NPI 1811104375 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 NY · 4807
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.
18012 UNION TPKE, Fresh Meadows, NY 11366

Other Identifiers 2

Medicare NSC0659390001NY
Medicaid01449467NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marsh Optical Boutique Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20160127002484DME · OpticianDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Marsh Optical Boutique Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Optometry
NPI 1194799791
18012 UNION TPKE
Fresh Meadows, NY 11366
(718) 380-5353
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1457775017
635 W 165TH ST
New York, NY 10032
(212) 342-1190
✔ PECOS11 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Marsh Optical Boutique Inc carries, from the Medicare DMEPOS supplier directory.

Marsh Optical Boutique Inc

DMEPOS supplier · Fresh Meadows, NY
✔

Accepts Medicare assignment

Marsh Optical Boutique Inc agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20487125
Medicare Participant SinceOctober 1, 2014
Supplier Location18012 Union TpkeFresh Meadows, NY 11366
Supplier Specialties
Optician

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Marsh Optical Boutique Inc.'s NPI number?

The NPI number for Marsh Optical Boutique Inc. is 1811104375. It was assigned to this organization in the NPPES registry on May 16, 2007.

Where is Marsh Optical Boutique Inc. located?

Marsh Optical Boutique Inc. is located at 18012 Union Tpke, Fresh Meadows, NY 11366. The listed phone number is (718) 380-5353.

What is Marsh Optical Boutique Inc.'s specialty?

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

Is Marsh Optical Boutique Inc. enrolled in Medicare?

Yes. Marsh Optical Boutique Inc. is registered in the Medicare PECOS enrollment system.

When is Marsh Optical Boutique Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (New York, Optician) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Marsh Optical Boutique Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Marsh Optical Boutique Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Marsh Optical Boutique Inc. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Marsh Optical Boutique Inc accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Marsh Optical Boutique Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Marsh Optical Boutique Inc. 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 Marsh Optical Boutique Inc. was last updated on September 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.