Mark Anthony Herriott, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

T-02710 Issued in MO

Practice address

221 NW McNary CT
Lees Summit, MO 64086-4011

Phone

(816) 524-8900

Fax

(816) 525-2042

NPI assigned

Jul 12, 2005

Last updated

Oct 14, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 10

Medicare fee-for-service enrollment

Enrolled in KS, MO2 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

Specialty

Optometry

Education

Southern California College of Optometry, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jackson County Eye Clinic Inc.Group PAC ID 8729018668, 7 clinicians

Eyecare Associates of Osawatomie, P.a.Group PAC ID 9335279827, 3 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jackson County Eye Clinic Inc.

  dba Eyecare Associates of Lee's Summit

  • Optometrist
  • Lee's Summit, MO
  • NPI 1144267287
  Medicare reassignment Care Compare group NPD
• Eyecare Associates of Osawatomie, P.a.

  • Optometrist
  • Osawatomie, KS
  • NPI 1073837464
  Medicare reassignment Care Compare group NPD
• Eyecare Associates of Osawatomie

  • Optometrist
  • Osawatomie, KS
  • NPI 1477591568
  NPD (past)

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1326046426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 NW MCNARY CT",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640864011",
            "telephone_number": "816-524-8900",
            "fax_number": "816-525-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 NW MCNARY CT",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640864011",
            "telephone_number": "816-524-8900",
            "fax_number": "816-525-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRIOTT",
        "first_name": "MARK",
        "middle_name": "ANTHONY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1253-2",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T-02710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100218260A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIFIED",
            "identifier": "650868",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DQ3063",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF KANSAS CITY",
            "identifier": "13232032",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00830626",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIFIED",
            "identifier": "KA1721002",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF KANSAS CITY",
            "identifier": "13232012",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "410038121",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID - UNSPECIFIED",
            "identifier": "5797073B",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410014216",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marcus Hernandez, MD
• Hanna Herndon, LMT
• Kristy Herndon, FNP
• Chau Nguyen Herring, APRN
• Douglas Gerard Herriott, OD
• Madelyn Joy Hershberger, LPC
• Christina Nicole Hess
• Isabella Hess, MS, PLPC
• Megan Hickey
• Sheila Y Hicks, CRNA

• Optometrist in Lee's Summit, MO
• Providers in Lee's Summit, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; 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.