Mark Edward Fechtel, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1117 Issued in AZ

Practice address

16968 W Bell Rd Ste 402
Surprise, AZ 85374-8943

Phone

(623) 214-0353

Fax

(623) 214-0693

NPI assigned

Oct 3, 2005

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

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.

• Active Eyecare LLC

  dba Active Eyecare of Surprise

  • Clinic/Center
  • Surprise, AZ
  • NPI 1295100204
  Authorized official Same address or phone
• Eye Fors PLLC

  dba Active Eye Care of Surprise

  • Optometrist
  • Surprise, AZ
  • NPI 1710707716
  NPD
• Tom Sowash OD & Associates PC

  dba Visionworks

  • Optometrist
  • Chandler, AZ
  • NPI 1174627202
  NPD (past)
• Visionworks Inc

  dba Visionworks

  • Eyewear Supplier
  • Gilbert, AZ
  • NPI 1306099643
  NPD (past)

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556755200000",
    "number": "1356338636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N MCKEMY AVE",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262654",
            "telephone_number": "480-961-1865",
            "fax_number": "480-961-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16968 W BELL RD STE 402",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853748943",
            "telephone_number": "623-214-0353",
            "fax_number": "623-214-0693"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14545 W Grand Ave",
            "address_2": "SUITE 105",
            "address_purpose": "LOCATION",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "85375",
            "country_code": "US",
            "telephone_number": "623-214-3848",
            "fax_number": "623-214-3851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FECHTEL",
        "first_name": "MARK",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2019-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie Farmer
• Janet Carol Farmer
• Steven Lee Farnsworth, DDS, PHD
• Tracy Fate
• April Renee Fatina, FNP
• Amber Feick
• Blair Feldman, DMD, MS
• Alexandra Gesine Felkins, MS., SLP-CCC
• Maureen Ann Fennell
• Makayla Fennema, OTR/L

• Optometrist in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.