Physician Compare National (NPI:1144377201)

HEALTHCARE PROVIDER: GREGORY WILLIAM MARSHALL O.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1144377201
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7416044698
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080423000486
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MARSHALL
	Individual professional last name
Provider First Name	GREGORY
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	SOUTHERN COLLEGE OF OPTOMETRY
	Individual professional's medical school
Graduation Year	1997
	Individual professional's medical school graduation year
Primary Specialty	OPTOMETRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	305 LETTON DR
	Group Practice or individual's line 1 address
City	PARIS
	Group Practice or individual's city
State	KY
	Group Practice or individual's state
Zip Code	403612252
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8599876664
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y