Active NPI
Mark S Zebrowski, O.D.
- Optometrist
- Grapevine, TX
National Provider Identifier
1427010263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5764TG
- Practice address
- 1319 W State Highway 114
Suite 320
Grapevine, TX 76051-8617 - Phone
- (817) 421-9705
- Fax
- (817) 421-9716
- NPI assigned
- Apr 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5764TG | TX | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | 5764TG | TX |
Addresses
Primary practice location
1319 W State Highway 114
Suite 320
Grapevine, TX 76051-8617
Mailing address
1319 W State Highway 114
Ste 320
Grapevine, TX 76051-8617
Phone (817) 421-9705
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00322065 | Other | TX | MEDICARE RAILROAD |
| 80790Q | Other | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1872 Norwood Dr
Suite 200
Hurst, TX 76054-7018
Phone (817) 540-6060
3405 Locke Ave
Suite 100
Fort Worth, TX 76107-5704
Phone (817) 540-6060
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5764 | TX | MD | Chiropractor |
| 5764TG | TX | MD | Corneal and Contact Management Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Eye and Laser Center, PA | Current | Accepting new patients | |
| Texas Eye Surgery Center, LLC | Past | Accepting new patients |
Locations
1872 Norwood Dr
Ste 200
Hurst, TX 76054
Phone (817) 540-6060
Organizations & group practices 2
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.
-
- Ophthalmology Physician
- Hurst, TX
- NPI 1437236262
-
- Ambulatory Surgical Clinic/Center
- Hurst, TX
- NPI 1750468583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431216000000",
"number": "1427010263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1319 W STATE HIGHWAY 114",
"address_2": "STE 320",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760518617",
"telephone_number": "817-421-9705",
"fax_number": "817-421-9716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1319 W STATE HIGHWAY 114",
"address_2": "SUITE 320",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760518617",
"telephone_number": "817-421-9705",
"fax_number": "817-421-9716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZEBROWSKI",
"first_name": "MARK",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-05",
"last_updated": "2015-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "5764TG",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "TX",
"license": "5764TG",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00322065",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "80790Q",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grapevine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.