Mark A Coll, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4443T Issued in TX

Practice address

3720 N Josey LN Ste 114
Carrollton, TX 75007-2470

Phone

(972) 395-8434

Fax

(972) 395-8433

NPI assigned

Oct 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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

Pacific University - College of Optometry, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Med Southwest PLLCGroup PAC ID 4082952874, 234 clinicians

Kenneth I Uzick OD PCGroup PAC ID 0244303717, 2 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Kenneth I Uzick OD PC

  • Optometrist
  • Dallas, TX
  • NPI 1235148560
  Medicare reassignment Care Compare group NPD
• Med Southwest, PLLC

  • Optometrist
  • Houston, TX
  • NPI 1609348739
  Medicare reassignment Care Compare group
• Med Southwest, PLLC

  • Optometrist
  • Irving, TX
  • NPI 1366087314
  NPD
• Med Southwest, PLLC

  • Optometrist
  • Oklahoma City, OK
  • NPI 1679440762
  NPD
• Buthod Eye Care, PA

  • Optometrist
  • Carrollton, TX
  • NPI 1669505129
  NPD (past)
• Dallas Optometric Center of Dr. D. Gary Thomas and Associates

  • Optometrist
  • Sherman, TX
  • NPI 1235344524
  NPD (past)
• E.a. Gus Guthrie, O.D.P.C.

  • Optometrist
  • Carrollton, TX
  • NPI 1417032525
  NPD (past)
• Silver Spring Optometry, LLC

  • Optometrist
  • Silver Spring, MD
  • NPI 1336204387
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1124103759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 FOXBORO LN",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750072937",
            "telephone_number": "972-492-6920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 N JOSEY LN STE 114",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750072470",
            "telephone_number": "972-395-8434",
            "fax_number": "972-395-8433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLL",
        "first_name": "MARK",
        "middle_name": "A",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4443T",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "4443T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Code 3 Emergency Partners at Carrollton, LLC
• Kerri Coduti
• Sapphire Coker, LPC-A
• Laquandra Coleman
• Vickye Coleman, FNP
• Collaborative First Assisting, LLC
• Linda Duong Collins, PHARMD.
• Marsena Collins, FNP
• Whitney J Collins, CCC-SLP
• Jeremy L Collinsworth

• Optometrist in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.