Mark B Privott, O. D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1113 Issued in OK

Practice address

4205 McAuley Blvd
Oklahoma City, OK 73120-8347

Phone

(405) 755-6111

Fax

(405) 755-6298

NPI assigned

Sep 2, 2005

Last updated

Apr 16, 2008By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

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

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Britton Vision Associates IncGroup PAC ID 4688659519, 12 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mprivott@hummeleye.direct.eyemdemr.com

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.

• Britton Vision Associates Inc

  dba BVA Advanced Eyecare and Retina Vitreous Affiliates

  • Ophthalmology Physician
  • Edmond, OK
  • NPI 1427051408
  Medicare reassignment Care Compare group NPD
• Mark B. Privott, O.D., Inc

  • Optometrist
  • Bethany, OK
  • NPI 1225257249
  Medicare reassignment NPD Authorized official
• Reliance Mental Health Clinic

  dba Reliance Mental Health and Functional Medicine

  • Family Medicine Physician
  • Bethany, OK
  • NPI 1124705348
  NPD (past)

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208304000000",
    "number": "1164416343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 MCAULEY BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208347",
            "telephone_number": "405-755-6111",
            "fax_number": "405-755-6298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 MCAULEY BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208347",
            "telephone_number": "405-755-6111",
            "fax_number": "405-755-6298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIVOTT",
        "first_name": "MARK",
        "middle_name": "B",
        "credential": "O. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2008-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "1113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100759820A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Pritchard
• Robert E Pritchard
• Jerry Pritchett, MD
• Private Psychiatric Care
• Jatonna Sue Privette, MA, MS
• Prixro Grill Inc
• Prixro Grill Inc
• Prixro Grill Inc
• Prixro Grill Inc
• Prixro Grill Inc

• Optometrist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.