NPIMap

Individual provider Active NPI

Mark Edward Schiffman, O.D.

  • Optometrist
  • Provincetown, MA
National Provider Identifier
1366415713
Registry record updated May 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3180 Issued in MA
Practice address
120 Bradford St.
Pob 212,
Provincetown, MA 02657-0212
Phone
(508) 487-2227
NPI assigned
Feb 8, 2006
Last updated
May 13, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3180 MA Primary

Addresses

Primary practice location

120 Bradford St.
Pob 212,
Provincetown, MA 02657-0212

Mailing address

120 Bradford St.
PO Box 212,
Provincetown, MA 02657-0212
Phone (508) 487-2227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Mark E. Schiffman Optometrist PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210636800000",
    "number": "1366415713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 BRADFORD ST.",
            "address_2": "PO BOX 212,",
            "city": "PROVINCETOWN",
            "state": "MA",
            "postal_code": "026570212",
            "telephone_number": "508-487-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 BRADFORD ST.",
            "address_2": "POB 212,",
            "city": "PROVINCETOWN",
            "state": "MA",
            "postal_code": "026570212",
            "telephone_number": "508-487-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIFFMAN",
        "first_name": "MARK",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2008-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provincetown, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.