Mark Steven Dworsky, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5855T Issued in TX

Practice address

11200 Lakeline Drive
Suite H-5
Cedar Park, TX 78613

Phone

(512) 257-7070

NPI assigned

Jul 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in TX

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

University of Houston - College of Optometry, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elite Vision Group, PLLCGroup PAC ID 2062805781, 22 clinicians

North Shore Eye Care, P.a.Group PAC ID 4688736903, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Elite Vision Group, PLLC

  dba Master Eye Associates

  • Optometrist
  • Round Rock, TX
  • NPI 1326718339
  Medicare reassignment Care Compare group NPD Authorized official
• North Shore Eye Care, P.a.

  • Optometrist
  • Lago Vista, TX
  • NPI 1487803961
  Medicare reassignment Care Compare group NPD
• Seniors Eyecare

  • Optometrist
  • Austin, TX
  • NPI 1619106531
  Authorized official Same address or phone
• Master Eye Associates Optometric Services of Texas PC

  dba Seniors Eye Care

  • Optometrist
  • Austin, TX
  • NPI 1639403363
  NPD (past)
• Visionworks, Inc

  dba Visionworks

  • Eyewear Supplier
  • Simpsonville, SC
  • NPI 1699571166
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073533675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11200 LAKELINE DRIVE",
            "address_2": "SUITE H-5",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "78613",
            "telephone_number": "512-257-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 LAKELINE DRIVE",
            "address_2": "SUITE H-5",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "78613",
            "telephone_number": "512-257-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWORSKY",
        "first_name": "MARK",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5855T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dungarvin Texas, LLC (Appletree Community Residence)
• Dungarvin Texas, LLC (Cedar Park Community Residence)
• Duramedix LLC
• Duramedix LLC
• Ikenna Chika Duru, PT, DPT
• Jason Wade Dyson, D.D.S.
• Eagle Health Services LLC
• Brian S Earthman, M.D.
• Rasley Easley, LPC
• Easy Care Pharmacy LLC (Easy Care Pharmacy)

• Optometrist in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.