Mark Wayne Keyes, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618000073 Issued in VA

Practice address

23079 Courthouse Ave
Accomac, VA 23301-1505

Phone

(757) 787-7040

Fax

(757) 787-2886

NPI assigned

Jul 25, 2006

Last updated

Sep 22, 2023By 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

Medicare fee-for-service enrollment

Enrolled in VA

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

Pennsylvania College of Optometry, 1984

Medicare assignment

May accept Medicare assignment

Group practices

Bortnick and Furman, P.C.Group PAC ID 7214056217, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bortnick & Furman, P.C.

  dba Accomac Optometric Center

  • Optometrist
  • Accomac, VA
  • NPI 1508048026
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1174546196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23079 COURTHOUSE AVE",
            "city": "ACCOMAC",
            "state": "VA",
            "postal_code": "233011505",
            "telephone_number": "757-787-7040",
            "fax_number": "757-787-2886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23079 COURTHOUSE AVE",
            "city": "ACCOMAC",
            "state": "VA",
            "postal_code": "233011505",
            "telephone_number": "757-787-7040",
            "fax_number": "757-787-2886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEYES",
        "first_name": "MARK",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Umlauf Dawson, LCSW
• Maisie S Grizzle, CCC-SLP
• Leslie M Holt, PT
• J Rawls Saecker DDS PC
• Kaitlin Elizabeth Keyes, OD
• Tanya Phillips Lilliston, RPH
• Eileen M Loftus, PT
• Michael Louis Margolius, MD
• Nequai T McLendon, PT
• Laurie L McShane, CNM, WHNP

• Optometrist in Accomac, VA
• Providers in Accomac, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; 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.