Mark D Michitsch, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

278 Issued in NV

Practice address

9700 South McCarran Blvd
Reno, NV 89523

Phone

(775) 827-3937

Fax

(775) 746-5316

NPI assigned

Jun 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV

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

Specialty

Optometry

Education

Southern California College of Optometry, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Amy E Sullivan LLCGroup PAC ID 5799172557, 2 clinicians

20 20 Vision LLCGroup PAC ID 8426243072, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• 20 20 Vision, LLC

  • Optometrist
  • Sparks, NV
  • NPI 1770803843
  Medicare reassignment Care Compare group NPD
• Amy E Sullivan LLC

  • Optometrist
  • Winnemucca, NV
  • NPI 1720734155
  Medicare reassignment Care Compare group NPD
• Michelle Wong Optometry PC

  • Optometrist
  • Reno, NV
  • NPI 1780233460
  Medicare reassignment
• Eyezone, Inc.

  • Optometrist
  • Stateline, NV
  • NPI 1487822201
  NPD (past) Authorized official
• Bengoa Eye Care LTD

  • Optometrist
  • Winnemucca, NV
  • NPI 1073865630
  NPD (past)
• Premier Vision Group

  • Optometrist
  • Reno, NV
  • NPI 1639328768
  NPD (past)
• Steven L Kline OD a Professional Corporation

  • Optometrist
  • Stateline, NV
  • NPI 1699986778
  NPD (past)

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1043249394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 QUALITY DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707985",
            "telephone_number": "614-784-5331",
            "fax_number": "775-746-5316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 SOUTH MCCARRAN BLVD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89523",
            "telephone_number": "775-827-3937",
            "fax_number": "775-746-5316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHITSCH",
        "first_name": "MARK",
        "middle_name": "D",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043249394",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Wong Optometry PC
• Michelle Wong Optometry PC
• Michelle Wong Optometry PC
• William B Michelson, M.D.
• Clement John Michet III, MD
• Adam Tully Mick, P.T.
• Noelle Micka
• Neamoubi Mickle
• Micoler, Incorporated
• Sherri Ann Micone, APRN

• Optometrist in Reno, NV
• Providers in Reno, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.