Individual provider Active NPI

Marc Tescher, O.D.

  • Optometrist
  • North Miami Beach, FL
National Provider Identifier
1144369562
Registry record updated Jun 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC2614 Issued in FL
Practice address
1825 NE 164TH St
North Miami Beach, FL 33162-4100
Phone
(305) 945-7113
Fax
(305) 944-2432
NPI assigned
Feb 5, 2007
Last updated
Jun 18, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC2614 FL Primary

Addresses

Primary practice location

1825 NE 164TH St
North Miami Beach, FL 33162-4100

Mailing address

1825 NE 164TH St
North Miami Beach, FL 33162-4100
Phone (305) 945-7113

Other identifiers 1

IdentifierTypeStateIssuer
078921600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20110120000855 FL Practitioner - Optometry 9830378090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rosin Eyecare PAGroup PAC ID 0941536536, 4 clinicians

Practice addresses (Care Compare)

1825 NE 164TH St
Tescher Eye Center
North Miami Beach, FL 33162-4100
Phone (305) 945-7113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rosin Eyecare, P.a. Optometrist CurrentSince Apr 16, 2019 Accepting new patients
Rosin Eyecare, P.a. Optometrist CurrentSince Apr 16, 2019 Accepting new patients

Locations

1825 NE 164th St
North Miami Beach, FL 33162
Phone (305) 945-7113

6235 Cermak Rd
Berwyn, IL 60402
Phone (708) 749-2020

Organizations & group practices 3

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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403049600000",
    "number": "1144369562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 NE 164TH ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624100",
            "telephone_number": "305-945-7113",
            "fax_number": "305-944-2432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 NE 164TH ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624100",
            "telephone_number": "305-945-7113",
            "fax_number": "305-944-2432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESCHER",
        "first_name": "MARC",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2014-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078921600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.