Individual provider Active NPI

Mark Hershowitz, O.D.

  • Optometrist
  • Watertown, NY
National Provider Identifier
1275530834
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV007244 Issued in NY
Practice address
53 Public SQ Ste 102
Watertown, NY 13601-2674
Phone
(315) 681-6379
NPI assigned
Jun 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV007244 NY Primary

Addresses

Primary practice location

53 Public SQ Ste 102
Watertown, NY 13601-2674

Mailing address

53 Public SQ Ste 102
Watertown, NY 13601-2674
Phone (315) 681-6379

Other identifiers 2

IdentifierTypeStateIssuer
52833AOtherNYMEDICARE PTAN
TUV007244OtherNYNY STATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080510000011 NY Practitioner - OptometryPractitioner - Ophthalmology 9436050028 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
OptometryAlso: Ophthalmology
Education
Pennsylvania College of Optometry, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Costello Eye Physicians and Surgeons PLLCGroup PAC ID 8628074937, 11 clinicians

Practice addresses (Care Compare)

2730 State Route 12B
Hamilton, NY 13346-2113
Phone (315) 797-8330

53 Public SQ
Suite 102
Watertown, NY 13601-2674
Phone (315) 691-6379

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV007244NYMDOptometrist
007244NYMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Empire Vision Center Inc Optometrist CurrentSince May 1, 2013 Accepting new patients
David a Ewing-Chow, MD, PLLC CurrentSince Aug 29, 2021 Accepting new patients
Costello Eye Physicians & Surgeons, PLLC Optometrist CurrentSince Jun 26, 2021 Accepting new patients
Empire Vision Center, Inc CurrentSince May 1, 2013 Accepting new patients
Vantage Eyecare, LLC Past Accepting new patients
South Jersey Eye Physicians PA Optometrist Past Accepting new patients
Ia Health Medicine PLLC PastSince Jul 13, 2025 Accepting new patients
Soll Eye PC of NJ Optometrist Past Accepting new patients

Locations

2730 State Route 12B
Hamilton, NY 13346
Phone (315) 797-8330

560 Troy Schenectady Rd
#7
Latham, NY 12110
Phone (518) 783-0090

131 Main St
Ste 201
Oneida, NY 13421
Phone (315) 363-1110

53-59 Public Sq
Ste 102
Watertown, NY 13601
Phone (315) 681-6379

Interoperability endpoints

  • Direct secure messaging: mhershowitz@ceps2056.srs-direct.com
  • FHIR API: https://app.meldrx.com/api/fhir/Freedom_CEP

Organizations & group practices 8

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": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1275530834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 PUBLIC SQ STE 102",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136012674",
            "telephone_number": "315-681-6379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 PUBLIC SQ STE 102",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136012674",
            "telephone_number": "315-681-6379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSHOWITZ",
        "first_name": "MARK",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "52833A",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE LICENSE",
            "identifier": "TUV007244",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, NY

Sources for this page

Verify at the official NPI Registry.