Mark Kaczmarek, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901005529 Issued in MI

Practice address

2942 E Highland Rd
Highland, MI 48356-2810

Phone

(248) 887-4175

Fax

(248) 889-2298

NPI assigned

Apr 11, 2021

Sex

Male

Sole proprietor

No

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.

• Cynthia M Kaczmarek

  • Optometrist
  • Highland, MI
  • NPI 1164562393

  MI, Optometrist

  Medicare reassignment NPD
• Normandy Optical North, PLLC

  • Optometrist
  • Shelby Township, MI
  • NPI 1821320250
  NPD (past)

Specialty

Optometry

Education

Ferris State College - College of Optometry, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

65.52 of 100Reported as group

Quality

35

Promoting interoperability

89

Improvement activities

40

Procedures performed for Medicare patients

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mkaczmarek@normandyoptical.emadirect.md
• Direct secure messaging: drkaczmarek@eyecareconnection.direct.eyemdemr.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 11, 2021.

{
    "created_epoch": "1618099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618099200000",
    "number": "1144800442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2942 E HIGHLAND RD",
            "city": "HIGHLAND",
            "state": "MI",
            "postal_code": "483562810",
            "telephone_number": "248-887-4175",
            "fax_number": "248-889-2298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2942 E HIGHLAND RD",
            "city": "HIGHLAND",
            "state": "MI",
            "postal_code": "483562810",
            "telephone_number": "248-887-4175",
            "fax_number": "248-889-2298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9135 Highland Rd Ste 7",
            "address_purpose": "LOCATION",
            "city": "White Lake",
            "state": "MI",
            "postal_code": "483862044",
            "country_code": "US",
            "telephone_number": "248-666-9700",
            "fax_number": "248-666-0378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KACZMAREK",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-11",
        "last_updated": "2021-04-11",
        "certification_date": "2021-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kinza Jarral
• Myriam Jensen, PH.D.
• Amy M Johnson, LPC
• Ryan Robert Johnston, PA-C
• Cynthia M Kaczmarek
• Tiffany Kaid
• Albert Joseph Kaspor, DDS
• Manpreet Kaur
• Mitchell Davis Keefer, BSN, RN
• Taylor Kelly, MSOT, OTR/L

• All providers in Highland, MI
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2021; 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.