Individual provider Active NPI

Mark D Sevigny, O.D.

  • Optometrist
  • Wauchula, FL
National Provider Identifier
1205028461
Registry record updated Jan 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4241 Issued in FL
Practice address
735 N 6TH Ave
Wauchula, FL 33873-2002
Phone
(863) 773-3322
Fax
(863) 773-6458
NPI assigned
Aug 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC4241 FL Primary

Addresses

Primary practice location

735 N 6TH Ave
Wauchula, FL 33873-2002

Mailing address

735 N 6TH Ave
Wauchula, FL 33873-2002
Phone (863) 773-3322

Other identifiers 1

IdentifierTypeStateIssuer
621295600MedicaidFL

Other names 1

  • Sevigny & Associates Eye Care Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20080815000364 FL Practitioner - Optometry 4486729050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sevigny and Associates Eye Care, PAGroup PAC ID 3173667110, 9 clinicians

Practice addresses (Care Compare)

735 N 6TH Ave
Wauchula, FL 33873-2002
Phone (863) 773-3322

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sevigny & Associates Eye Care, PA Optometrist CurrentSince Sep 30, 2009 Accepting new patients
Ronald O Sevigny OD Optometrist Past Accepting new patients
Sevigny & Johnson Eye Care, P.a. Optometrist Past Accepting new patients

Locations

2442 NE Highway 70
Arcadia, FL 34266
Phone (863) 491-7777

810 N Mills Ave
Arcadia, FL 34266
Phone (863) 494-5909

2323 US 27 N
Avon Park, FL 33825

2315 US Highway 27 N
Avon Park, FL 33825
Phone (863) 212-7070

27 US Highway 27 S
Lake Placid, FL 33852
Phone (863) 465-4904

363 US Highway 27 S
Sebring, FL 33870
Phone (863) 385-7070

735 N 6th Ave
Wauchula, FL 33873
Phone (863) 773-3322

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264723200000",
    "number": "1205028461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 N 6TH AVE",
            "city": "WAUCHULA",
            "state": "FL",
            "postal_code": "338732002",
            "telephone_number": "863-773-3322",
            "fax_number": "863-773-6458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 N 6TH AVE",
            "city": "WAUCHULA",
            "state": "FL",
            "postal_code": "338732002",
            "telephone_number": "863-773-3322",
            "fax_number": "863-773-6458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVIGNY",
        "first_name": "MARK",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-13",
        "last_updated": "2010-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "621295600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SEVIGNY & ASSOCIATES",
            "last_name": "EYE CARE",
            "credential": "DBA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wauchula, FL

Sources for this page

Verify at the official NPI Registry.