Mark D Noss OD LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901002760 Issued in MI

Legal business name

MARK D NOSS OD LLC

Doing business as

Full Spectrum Eyecare

Practice address

328 Munson Ave
Traverse City, MI 49686-3040

Phone

(231) 946-8460

Fax

(231) 946-8507

NPI assigned

Mar 27, 2015

Organization subpart

No

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

Authorized official

Name

Patricia A Noss

Title

Office Manager

Phone

(231) 946-8460

Specialties & licenses 1

Addresses

Other names 1

• Full Spectrum Eyecare Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark D Noss, OD

  • Optometrist
  • Traverse City, MI
  • NPI 1205814779
  Medicare reassignment NPD
• Rebekah Sue Noss, OD

  • Optometrist
  • Traverse City, MI
  • NPI 1740448752
  Medicare reassignment NPD

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428969600000",
    "number": "1093109944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 MUNSON AVE",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863040",
            "telephone_number": "231-946-8460",
            "fax_number": "231-946-8507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 MUNSON AVE",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863040",
            "telephone_number": "231-946-8460",
            "fax_number": "231-946-8507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK D NOSS OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-27",
        "last_updated": "2015-04-14",
        "status": "A",
        "authorized_official_last_name": "NOSS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "231-946-8460"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Full Spectrum Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Margaret Moen MD PLLC
• Kimberly Michelle Marino, DNP
• Marissa Walkerdine Rogers DO PC
• Maristela Zell, LLC
• Mark a Jackson MD PLC
• Mark D. Krull DDS PLLC
• Kari Ann Mark, FNP
• Joan M Markham
• Kaylynn Elizabeth Grace Markham
• Michelle Margaret Markiewicz, LPC

• Optometrist in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.