Individual provider Active NPI

Marc Alvin Franke, O.D.

  • Optometrist
  • Jefferson City, MO
National Provider Identifier
1093735631
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2005019958 Issued in MO
Practice address
2421 W Edgewood Dr
Ste a
Jefferson City, MO 65109-5844
Phone
(573) 808-3908
NPI assigned
Jul 19, 2006
Last updated
Aug 17, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2005019958 MO Primary

Addresses

Primary practice location

2421 W Edgewood Dr
Ste a
Jefferson City, MO 65109-5844

Mailing address

924 Rustic Creek TRL
Jefferson City, MO 65101-7405
Phone (816) 858-3954

Other identifiers 1

IdentifierTypeStateIssuer
317512804MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20050808000695 MO Practitioner - Optometry 6800825050 Reassigns benefits to 1 organization
Practice locations: Jefferson City, MT

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aria Vision Care, LLCGroup PAC ID 9638571524, 8 clinicians

Practice addresses (Care Compare)

2847 S Ingram Mill Rd
Suite A100
Springfield, MO 65804-4006
Phone (888) 840-3032

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2005019958MOMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aria Vision Care, LLC Optometrist CurrentSince Oct 1, 2021 Accepting new patients

Locations

8500 W 110th St
Ste 450
Overland Park, KS 66210
Phone (913) 362-1112

2847 S Ingram Mill Rd
Ste A100
Springfield, MO 65804
Phone (214) 705-2301

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

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1093735631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 RUSTIC CREEK TRL",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651017405",
            "telephone_number": "816-858-3954",
            "fax_number": "816-858-3954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 W EDGEWOOD DR",
            "address_2": "STE A",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651095844",
            "telephone_number": "573-808-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANKE",
        "first_name": "MARC",
        "middle_name": "ALVIN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2005019958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "317512804",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson City, MO

Sources for this page

Verify at the official NPI Registry.