J. Mark Saunders OD P a

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

J. MARK SAUNDERS OD P A

Practice address

4637 Main St
Shallotte, NC 28470-4453

Phone

(910) 754-9687

Fax

(910) 755-9891

NPI assigned

Feb 25, 2008

Organization subpart

No

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

Authorized official

Name

Dr. J. Mark Saunders

Title

Owner/Optometrist

Phone

(910) 754-9687

Specialties & licenses 1

Addresses

Other names 1

• Shallotte Vision Care Other name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jill A Greene, O.D.

  • Optometrist
  • Carolina Shores, NC
  • NPI 1235506833
  Medicare reassignment NPD
• James Mark Saunders, O.D.

  • Optometrist
  • Shallotte, NC
  • NPI 1386721314
  Medicare reassignment NPD

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1285803189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4637 MAIN ST",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284704453",
            "telephone_number": "910-754-9687",
            "fax_number": "910-755-9891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4637 MAIN ST",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284704453",
            "telephone_number": "910-754-9687",
            "fax_number": "910-755-9891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. MARK SAUNDERS OD P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "SAUNDERS",
        "authorized_official_first_name": "J. MARK",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "910-754-9687",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shallotte Vision Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Individualized Treatment Solution
• Individualized Treatment Solution, LLC
• Inside Out Counseling Services, LLC
• Christopher Brian Isenhour, MD
• Anna Scott Ivey, SLP
• Sarah Katherine Jacobs, MSW, LCSW
• James L White DDS Pllc2
• Caroline Alexis Jenkins, FNP
• Jamie Jensen Johnson, CF-SLP
• Kassidi Macemore Johnson, COTA/L

• Optometrist in Shallotte, NC
• Providers in Shallotte, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.