Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Ellvin John Mar, OD

Individual provider Optometrist · NPI 1790965101

Dr. Ellvin John Mar, OD is an Optometry in Northport, New York. Graduated from State University of New York - State College Optometry in 2007, 19 years ago. Practices with Tan and Mar Optometry, a 2-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
19
Trained at
State University of New York - State College Optometry
Licensed in
NY
In the registry since
2007
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

834 Fort Salonga Rd Ste D
Northport, NY 11768-3157
Phone: (631) 757-4440
Fax: (631) 757-4593
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 007221 (NY)

Record details

NPI number1790965101
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedNovember 14, 2007
Last updated in NPPESJuly 5, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSTATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Graduated 2007 (19 years in practice)
Group practice Tan And Mar Optometry — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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