Individual provider Active NPI

Mark Philip Macmillan, O.D.

  • Corneal and Contact Management Optometrist
  • Richmond, VA
National Provider Identifier
1285078014
Registry record updated May 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
0618002308 Issued in VA
Practice address
400 Westhampton Sta
Richmond, VA 23226-3330
Phone
(804) 287-4200
Fax
(804) 287-4210
NPI assigned
Apr 23, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 0618002308 VA Primary

Addresses

Primary practice location

400 Westhampton Sta
Richmond, VA 23226-3330

Mailing address

400 Westhampton Sta
Richmond, VA 23226-3330
Phone (804) 287-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130709000200 AL Practitioner - Optometry 5991945313 Reassigns benefits to 1 organization
I20150309001959 VA Practitioner - Optometry 5991945313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grove Ave Eye Center PCGroup PAC ID 1759411663, 9 clinicians

Practice addresses (Care Compare)

14431 Sommerville CT
Suite B
Midlothian, VA 23113-6812
Phone (804) 888-8998

Merit-based Incentive Payment System (MIPS)

Final score
88.33 of 100Reported as group
Quality
76.65
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618002308VAMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Alabama at Birmingham CurrentSince Jun 24, 2013 Accepting new patients
University of Alabama at Birmingham CurrentSince Jun 24, 2013 Accepting new patients
University of Alabama at Birmingham Current Accepting new patients
Grove Ave Eye Center PC CurrentSince Nov 15, 2017 Accepting new patients
Chesapeake Eye Physicians, PLC PastSince Dec 10, 2014 Accepting new patients
Jenny Alsop, OD PLLC PastSince Nov 15, 2017 Accepting new patients

Locations

1716 University Blvd
Birmingham, AL 35233
Phone (205) 934-3899

1716 University Blvd
Birmingham, AL 35294

14431 Sommerville Ct
Ste B
Midlothian, VA 23113
Phone (804) 358-8443

3601 Grove Ave
Richmond, VA 23221
Phone (804) 353-3937

Organizations & group practices 6

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": "1366675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463443200000",
    "number": "1285078014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 WESTHAMPTON STA",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263330",
            "telephone_number": "804-287-4200",
            "fax_number": "804-287-4210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WESTHAMPTON STA",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263330",
            "telephone_number": "804-287-4200",
            "fax_number": "804-287-4210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACMILLAN",
        "first_name": "MARK",
        "middle_name": "PHILIP",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-23",
        "last_updated": "2016-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "VA",
            "license": "0618002308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.