Individual provider Active NPI

Mark B. Byers, O.D.

  • Optometrist
  • Marysville, CA
National Provider Identifier
1164551966
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11554T Issued in CA
Practice address
429 D St
Marysville, CA 95901-5706
Phone
(530) 742-1679
Fax
(530) 742-1233
NPI assigned
Mar 5, 2007
Last updated
Sep 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11554T CA Primary

Addresses

Primary practice location

429 D St
Marysville, CA 95901-5706

Mailing address

429 D St
Marysville, CA 95901-5706
Phone (530) 742-1679

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040401000971 CA Practitioner - Optometry 4587656251 Practice locations: Marysville, CA
O20151009001235 CA DME Supplier - Physician - Optometrist 2961715412 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Marysville, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

429 D St
Marysville, CA 95901-5706
Phone (530) 742-1679

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
557SDMDPsychologist
11554TCAMDOptometrist

Organizations & group practices 1

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": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1164551966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 D ST",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959015706",
            "telephone_number": "530-742-1679",
            "fax_number": "530-742-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 D ST",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959015706",
            "telephone_number": "530-742-1679",
            "fax_number": "530-742-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYERS",
        "first_name": "MARK",
        "middle_name": "B.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11554T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, CA

Sources for this page

Verify at the official NPI Registry.