Individual provider Active NPI

Mark Margolies, OD

  • Optometrist
  • Levittown, PA
National Provider Identifier
1043216898
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000972 Issued in PA
Practice address
29 Stonybrook Dr
Levittown, PA 19055-2216
Phone
(215) 946-1221
Fax
(215) 946-1225
NPI assigned
Jun 27, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X OEG000972 PA
Optometrist 152W00000X OEG000972 PA Primary

Addresses

Primary practice location

29 Stonybrook Dr
Levittown, PA 19055-2216

Mailing address

1724 Kendrick St
Philadelphia, PA 19152-1816
Phone (215) 946-1221

Other identifiers 2

IdentifierTypeStateIssuer
410024019OtherPARAILROAD MEDICARE PROVIDER NUMBER/PTAN
001607401MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20100826000629 PA Practitioner - Optometry 9234253360 Practice locations: Levittown, PA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

29 Stonybrook Dr
Levittown, PA 19055-2216
Phone (215) 946-1221

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG000972PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Millis Eye Associates, LLC Optometrist PastSince Jan 1, 2007 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277856000000",
    "number": "1043216898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 KENDRICK ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191521816",
            "telephone_number": "215-946-1221",
            "fax_number": "215-946-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 STONYBROOK DR",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190552216",
            "telephone_number": "215-946-1221",
            "fax_number": "215-946-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARGOLIES",
        "first_name": "MARK",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2010-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "PA",
            "license": "OEG000972",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROVIDER NUMBER/PTAN",
            "identifier": "410024019",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001607401",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Levittown, PA

Sources for this page

Verify at the official NPI Registry.