Active NPI
Mark Ossi, OD
- Optometrist
- Leesburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC5696
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC5696 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Centers, Inc | Current | Accepting new patients | |
| Community Health Centers, Inc | Current | 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
- mark.ossi@direct.revolutionehr.com
- 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.
-
- Community/Retail Pharmacy
- Apopka, FL
- NPI 1134258684
-
- Primary Care Clinic/Center
- Orlando, FL
- NPI 1396829677
-
- Federally Qualified Health Center (FQHC)
- Orlando, FL
- NPI 1710259965
-
dba Bowden Eye & Associates
- Ophthalmology Physician
- Jacksonville, FL
- NPI 1205295540
-
- Optometrist
- St Augustine, FL
- NPI 1710185798
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.