Mark S Luedke, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC2762 Issued in FL

Practice address

9433 Balm Riverview Rd Ste 102
Riverview, FL 33569-5120

Phone

(813) 671-2020

Fax

(813) 677-5549

NPI assigned

Mar 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rachel H. Leland, O.D. PLLCGroup PAC ID 8022473198, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Rachel H. Leland, O.D., PLLC.

  • Optometrist
  • Riverview, FL
  • NPI 1194442541
  Medicare reassignment Care Compare group NPD
• Phillips, Salomon & Parrish, PA

  • Optometrist
  • Kissimmee, FL
  • NPI 1831509611
  NPD (past)

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432684800000",
    "number": "1316915481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9433 BALM RIVERVIEW RD",
            "address_2": "STUITE 102",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335695120",
            "telephone_number": "813-671-2020",
            "fax_number": "813-677-5549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9433 BALM RIVERVIEW RD STE 102",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335695120",
            "telephone_number": "813-671-2020",
            "fax_number": "813-677-5549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUEDKE",
        "first_name": "MARK",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2015-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620037100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Art Love, R.PH.
• Marica Danyale Lowery, COTA/L
• Karen Loyd, PHARMD
• LPS Healthcare Solutions LLC
• Flobert Lubin, REGISTERED NURSE
• Lourdes Lugo
• Lumacare Integrative Wellness, PLLC
• Taylor Mackenzie Luthringer
• Tanya Lutjemeyer, DMD
• Jennifer JH Luttrell

• Optometrist in Riverview, FL
• Providers in Riverview, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; 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.

Verify at the official NPI Registry.