Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Katelyn Marie Marks, OD

Individual provider Optometrist · NPI 1417531260

Dr. Katelyn Marie Marks, OD is an Optometry in Fernandina Beach, Florida. Graduated from Southern California College of Optometry in 2021, 5 years ago. Practices with Russell Stackhouse MD PA, a 13-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
5
Trained at
Southern California College of Optometry
Licensed in
FL
In the registry since
2021
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

6 S 14th St
Fernandina Beach, FL 32034-3212
Phone: (904) 261-5741
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPC5920 (FL)

Record details

NPI number1417531260
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedMay 7, 2021
Last updated in NPPESMay 27, 2021
Certification dateMay 27, 2021

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduated 2021 (5 years in practice)
Group practice Russell Stackhouse Md Pa — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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