Mark Dill OD PLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

076578 Issued in IA

Legal business name

MARK DILL OD PLC

Practice address

501 W Riverside Rd
Ames, IA 50010-9314

Phone

(515) 337-1601

Fax

(515) 337-1774

NPI assigned

Jun 3, 2015

Organization subpart

No

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

Authorized official

Name

Pam S Nerness

Title

Billing Specialist

Phone

(515) 337-1772

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa R. Brooks, OD

  • Optometrist
  • Ankeny, IA
  • NPI 1013981638
  NPD (past)
• Lindsay Kleve, O.D.

  • Optometrist
  • Waukee, IA
  • NPI 1518305622
  NPD (past)
• Megan Marie Petersen, O.D.

  • Optometrist
  • Webster City, IA
  • NPI 1821343484
  NPD (past)

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433289600000",
    "number": "1154701381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W RIVERSIDE RD",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500109314",
            "telephone_number": "515-337-1601",
            "fax_number": "515-337-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W RIVERSIDE RD",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500109314",
            "telephone_number": "515-337-1601",
            "fax_number": "515-337-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK DILL OD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-03",
        "last_updated": "2015-06-03",
        "status": "A",
        "authorized_official_last_name": "NERNESS",
        "authorized_official_first_name": "PAM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "515-337-1772"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IA",
            "license": "076578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanya Lynn Main, MSPT
• Mainstream Living, Inc.
• Courtney Makus, AG-ACNP
• Maria Helena Mallarino, L.I.S.W.
• Mia Manguno, FNP
• Carl Markley, ARNP
• Isabel Jae Marlow
• Courtney Martin, DNP
• Mario Martinez Jr.
• David Kee Martzahn, PHARMD, MBA

• All providers in Ames, IA
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.