Individual provider Active NPI

Mark Ossi, OD

  • Optometrist
  • Leesburg, FL
National Provider Identifier
1245883297
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5696 Issued in FL
Practice address
225 N 1St St
Leesburg, FL 34748-5150
Phone
(407) 905-8827
Fax
(352) 360-2389
NPI assigned
Jul 18, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC5696 FL Primary

Addresses

Primary practice location

225 N 1St St
Leesburg, FL 34748-5150

Mailing address

110 S Woodland St
Winter Garden, FL 34787-3546
Phone (407) 905-8827

Other practice location 1

100 Marketside Ave Ste 305
Ponte Vedra, FL 32081-0582
Phone (904) 825-4525

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mark.ossi@direct.revolutionehr.com Health Information Exchange (HIE)

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
I20200831000795 FL Practitioner - Optometry 0446677892 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC5696FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers, Inc CurrentSince Aug 3, 2020 Accepting new patients
Community Health Centers, Inc CurrentSince Aug 3, 2020 Accepting new patients
Community Health Centers, Inc Current Accepting new patients
Frank W. Bowden, III, MD, Facs, PA Past Accepting new patients
St Johns Eye Associates PA Optometrist Past Accepting new patients

Locations

225 E 7th St
Apopka, FL 32703
Phone (407) 886-6201

509 Cagan View Rd
Clermont, FL 34714
Phone (352) 557-5712

225 N 1st St
Leesburg, FL 34748
Phone (352) 314-7400

7900 Forest City Rd
Orlando, FL 32810
Phone 40790588271001

840 Mercy Dr
Pine Hills, FL 32808

212 E Main St
Tavares, FL 32778
Phone (352) 314-7409

110 S Woodland St
Winter Garden, FL 34787

13275 W Colonial Dr
Winter Garden, FL 34787
Phone (407) 614-5374

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: mark.ossi@direct.revolutionehr.com
  • Direct secure messaging: mark.ossi@chcfl.eclinicaldirectplus.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1245883297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S WOODLAND ST",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873546",
            "telephone_number": "407-905-8827",
            "fax_number": "407-905-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 N 1ST ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485150",
            "telephone_number": "407-905-8827",
            "fax_number": "352-360-2389"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Marketside Ave Ste 305",
            "address_purpose": "LOCATION",
            "city": "Ponte Vedra",
            "state": "FL",
            "postal_code": "320810582",
            "country_code": "US",
            "telephone_number": "904-825-4525",
            "fax_number": "904-825-4520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSSI",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-18",
        "last_updated": "2023-11-27",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mark.ossi@direct.revolutionehr.com",
            "affiliation": "Y",
            "endpointDescription": "direct doctor messaging within the EHR system",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "*SES",
            "address_1": "161 Hampton Point Dr Ste 3",
            "city": "Saint Augustine",
            "state": "FL",
            "country_code": "US",
            "postal_code": "320923058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

Verify at the official NPI Registry.