IndividualActive
Marshall Upshur, MD
NPI 1174681092 · Pediatric Optometrist · Woodbridge, VA
Provider details
- NPI number
- 1174681092
- Entity type
- Individual
- Primary specialty
- Pediatric OptometristEye and Vision Services Providers
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 0101037842 (VA)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
14139 Potomac Mills Road
Woodbridge, VA 22192-4644
Phone: (703) 490-8400
Fax: (703) 490-7635
Street-level locationGet directions
Mailing address
Kaiser Permanente Mid Atlantic Permanente Medical Group
Rockville, MD 20852-4908
Registry dates
- Enumerated
- 2006-12-04
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.