Individual provider Active NPI

Mark S Zebrowski, O.D.

  • Optometrist
  • Grapevine, TX
National Provider Identifier
1427010263
Registry record updated May 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5764TG Issued in TX
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

Updated by the provider on May 10, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00322065OtherTXMEDICARE RAILROAD
80790QOtherBLUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040428001385 TX Practitioner - Optometry 3274520564 Reassigns benefits to 1 organization

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
Texas Eye and Laser Center, P.a.Group PAC ID 7315843257, 9 clinicians

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 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5764TXMDChiropractor
5764TGTXMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Eye and Laser Center, PA CurrentSince Dec 9, 2024 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.

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

Verify at the official NPI Registry.