Active NPI
Mark Hershowitz, O.D.
- Optometrist
- Watertown, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV007244
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52833A | Other | NY | MEDICARE PTAN |
| TUV007244 | Other | NY | NY 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV007244 | NY | MD | Optometrist |
| 007244 | NY | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empire Vision Center Inc | Optometrist | Current | Accepting new patients |
| David a Ewing-Chow, MD, PLLC | Current | Accepting new patients | |
| Costello Eye Physicians & Surgeons, PLLC | Optometrist | Current | Accepting new patients |
| Empire Vision Center, Inc | Current | Accepting new patients | |
| Vantage Eyecare, LLC | Past | Accepting new patients | |
| South Jersey Eye Physicians PA | Optometrist | Past | Accepting new patients |
| Ia Health Medicine PLLC | Past | 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
- mhershowitz@ceps2056.srs-direct.com
- 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.
-
- Ophthalmology Physician
- Oneida, NY
- NPI 1699785832
Optometrist
-
- Optometrist
- Syracuse, NY
- NPI 1750358826
-
- Ophthalmology Physician
- Watertown, NY
- NPI 1609128107
-
- Eyewear Supplier
- Attleboro, MA
- NPI 1730635582
-
- Interventional Pain Medicine Physician
- New Hartford, NY
- NPI 1376433482
-
- Durable Medical Equipment & Medical Supplies
- Bala Cynwyd, PA
- NPI 1023580131
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.