Mark A Lavine, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901002664 Issued in MI

Practice address

354 W 14 Mile Rd
Oakland Mall
Troy, MI 48083-4218

Phone

(248) 585-0044

Fax

(248) 585-5525

NPI assigned

Dec 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Southern College of Optometry, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

SVS Vision IncGroup PAC ID 9931257110, 41 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.

• SVS Vision Inc

  • Optometrist
  • Mount Clemens, MI
  • NPI 1194879023
  Medicare reassignment Care Compare group NPD
• SVS Vision Inc

  • Optometrist
  • Mount Pleasant, MI
  • NPI 1558246942
  NPD
• Hearing Associates of Farmington Hills, PLLC

  • Hearing Aid Equipment
  • West Bloomfield, MI
  • NPI 1821526088
  NPD (past)
• Luxottica Retail North America Inc

  • Eyewear Supplier
  • Midland, MI
  • NPI 1053457101
  NPD (past)
• Pearle Vision Inc

  • Eyewear Supplier
  • Troy, MI
  • NPI 1477618775
  NPD (past)
• Pearle Vision Inc

  • Optometrist
  • New Hudson, MI
  • NPI 1891840682
  NPD (past)
• Pearle Vision Inc

  • Eyewear Supplier
  • Fairview Heights, IL
  • NPI 1982744033
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274832000000",
    "number": "1154482594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5448 VAN NESS DR",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483022670",
            "telephone_number": "248-857-2353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 W 14 MILE RD",
            "address_2": "OAKLAND MALL",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480834218",
            "telephone_number": "248-585-0044",
            "fax_number": "248-585-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVINE",
        "first_name": "MARK",
        "middle_name": "A",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2010-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Marie Laura, P.T.A.
• Lauren Ehardt DDS PLLC
• Jonathan Lauter
• Haley Lauwers
• Kendyll Lavant
• Farrah Laviolette, MD
• Pamela Ann Lavis
• Danielle Lawrence
• Clare Layton
• Dariusz A Lazarczyk, MD

• Optometrist in Troy, MI
• Providers in Troy, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; 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.