Individual provider Active NPI

Mark H Vinson, O.D.

  • Optometrist
  • Marion, SC
National Provider Identifier
1447279062
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
789 Issued in SC
Practice address
2614 E Highway 76
Suite a
Marion, SC 29571-6336
Phone
(843) 423-7229
Fax
(843) 423-1971
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 789 SC Primary

Addresses

Primary practice location

2614 E Highway 76
Suite a
Marion, SC 29571-6336

Mailing address

2614 E Highway 76
P.O. Box 1469
Marion, SC 29571-6336
Phone (843) 423-7229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20110929000189 SC Practitioner - Optometry 6507939097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clemson Eye PAGroup PAC ID 4183537764, 51 clinicians

Practice addresses (Care Compare)

2614 US-76
Marion, SC 29571-6336
Phone (864) 654-6706

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
789SCMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Visioin Care P.a. Optometrist Past Accepting new patients
Dillion Vision Care, PC Optometrist Past Accepting new patients
Clemson Eye, PA Optometrist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mark.vinson.p2@direct.clemsoneye.nextgenshare.com
  • Direct secure messaging: mark.vinson.p1@direct.clemsoneye.nextgenshare.com

Organizations & group practices 6

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1447279062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2614 E HIGHWAY 76",
            "address_2": "P.O. BOX 1469",
            "city": "MARION",
            "state": "SC",
            "postal_code": "295716336",
            "telephone_number": "843-423-7229",
            "fax_number": "843-423-1971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2614 E HIGHWAY 76",
            "address_2": "SUITE A",
            "city": "MARION",
            "state": "SC",
            "postal_code": "295716336",
            "telephone_number": "843-423-7229",
            "fax_number": "843-423-1971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINSON",
        "first_name": "MARK",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, SC

Sources for this page

Verify at the official NPI Registry.