Mark Peller, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

698 Issued in AZ

Practice address

1025 S Power Rd
Mesa, AZ 85206-5240

Phone

(480) 325-6277

Fax

(480) 325-6278

NPI assigned

Oct 10, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: dr.mark.peller@direct.eyecare-partners.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nationwide Optometry P.C.

  dba Nationwide Vision

  • Optometrist
  • Tempe, AZ
  • NPI 1326472945
  Medicare reassignment
• Nationwide Optometry P.C.

  dba Nationwide Vision

  • Optometrist
  • Phoenix, AZ
  • NPI 1073683348
  NPD (past)
• Nationwide Optometry P.C.

  dba Nationwide Vision

  • Optometrist
  • Mesa, AZ
  • NPI 1447973599
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516233600000",
    "number": "1013905462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N MCKEMY AVE",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262654",
            "telephone_number": "480-961-1865",
            "fax_number": "480-961-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 S POWER RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852065240",
            "telephone_number": "480-325-6277",
            "fax_number": "480-325-6278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLER",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2018-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "928",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greggory Keith Peifer, D.O.
• Kevin Jerome Peine, MD
• Erin Leigh Peitzmeier, PA-C
• Maniah Pelland
• Maia Pellegrini, LCSW
• Angela Pelletier, DMD
• Anabelle Pelto
• Pema Dental Center Inc
• Rakesh Dhiru Pema, D.D.S.
• Tyler Pemberton, PMHNP

• Optometrist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.