Mark Thomas Mentzer, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

01912 Issued in IA

Practice address

2200 Blairsferry Crossing
Hiawatha, IA 52233-7900

Phone

(319) 294-9546

Fax

(319) 395-0089

NPI assigned

Oct 24, 2007

Sex

Male

Sole proprietor

Yes

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 IA

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

Illinois College of Optometry at Chicago, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Mark T Mentzer OD PC

  • Optometrist
  • Hiawatha, IA
  • NPI 1932163946
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245024000000",
    "number": "1184813305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 BLAIRSFERRY CROSSING",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522337900",
            "telephone_number": "319-294-9546",
            "fax_number": "319-395-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 BLAIRSFERRY CROSSING",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522337900",
            "telephone_number": "319-294-9546",
            "fax_number": "319-395-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENTZER",
        "first_name": "MARK",
        "middle_name": "THOMAS",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-24",
        "last_updated": "2009-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "01912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3284331",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Anne McLaud, RBT
• Gregory Alan McSweeny, DC
• Bryton Melenas, DPT
• Michael Angelo Mendoza, LMFT
• Mindy Jean Mensen, ARNP
• Mercy Care Management, Inc (MercyCare Hiawatha Urgent Care)
• Mercy Medical Center (Hospice of Mercy)
• Mercy Physician Associates, Inc (Mercy Care Blairs Ferry)
• Mercy Surgery Center LLC
• James William Metzger, M.D.

• Optometrist in Hiawatha, IA
• Providers in Hiawatha, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2009; 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.