Mark B. Byers, O.D.
Individual provider Active NPI Optometrist · Marysville, CA
NPI 1164551966 · NPPES record last updated Sep 27, 2023
Key facts
- NPI
- 1164551966
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 11554T (CA)
- Practice address
- 429 D St
Marysville, CA 95901-5706 - Phone
- (530) 742-1679
- Fax
- (530) 742-1233
- NPI assigned
- Mar 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
Other NPIs on the same Medicare enrollment 1
Medicare Care Compare profile
- 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
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11554T | CA | MD | Optometrist |
| 11554 | CA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 11554T | CA | Yes |
Addresses
Primary practice location
429 D St
Marysville, CA 95901-5706
Mailing address
429 D St
Marysville, CA 95901-5706
Phone (530) 742-1679
Other providers in Marysville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.