Mark Alan Schwartz, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901002472 Issued in MI

Practice address

13400 E 15 Mile Road
Sterling Heights, MI 48312

Phone

(586) 939-1122

Fax

(586) 939-9328

NPI assigned

Jul 6, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203984000000",
    "number": "1184655029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13400 E 15 MILE ROAD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "48312",
            "telephone_number": "586-939-1122",
            "fax_number": "586-939-9328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13400 E 15 MILE ROAD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "48312",
            "telephone_number": "586-939-1122",
            "fax_number": "586-939-9328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "MARK",
        "middle_name": "ALAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2008-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADMINASTAR FEDERAL",
            "identifier": "0166710001",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hayden Schugg
• Ryan Alan Schultz, D.D.S
• Jason Schwager, DMD
• Schwalm Chiropractic PLLC
• Alexis Schwartz
• Matthew Eric Schwartz, DPT
• Hans Ulrich Schwarz, DDS
• Amanda Sciacchitano, LMSW
• Stephanie Ann Scianna, LMSW
• Leshia Scott

• Optometrist in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.