Mark S Dickinson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

001046 Issued in GA

Practice address

13190 Owens Way
Alpharetta, GA 30004-7357

Phone

(404) 218-4912

Fax

(770) 872-7463

NPI assigned

Nov 2, 2006

Last updated

Mar 11, 2013By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Optometry

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.93 of 100Reported as apm

Quality

82.14

Promoting interoperability

100

Improvement activities

40

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.

• Mark S Dickinson OD PC

  • Optometrist
  • Alpharetta, GA
  • NPI 1871636399
  Medicare reassignment NPD Authorized official
• Marietta Eye Clinic PA

  dba Marietta Eye Clinic Johns Creek

  • Ophthalmology Physician
  • Suwanee, GA
  • NPI 1700675568
  Medicare reassignment NPD
• Geriatric Eye Group LLC

  • Optometrist
  • Marietta, GA
  • NPI 1952627218
  NPD (past) Authorized official
• Senior Specialty Care

  • Optometrist
  • Alpharetta, GA
  • NPI 1710516109
  NPD (past) Authorized official
• Marietta Eye Clinic

  • Ophthalmology Physician
  • Acworth, GA
  • NPI 1578795944

  Optometrist

  NPD
• Marietta Eye Clinic PA

  dba Marietta Eye Surgery at Johns Creek

  • Ophthalmologic Surgery Clinic/Center
  • Suwanee, GA
  • NPI 1225836869
  NPD
• Marietta Eye Clinic, PA

  • Ophthalmology Physician
  • Villa Rica, GA
  • NPI 1275221608

  Optometrist

  NPD (past)
• Marietta Eye Clinic, PA

  • Ophthalmology Physician
  • Cumming, GA
  • NPI 1629784160

  Optometrist

  NPD (past)
• Wildwood Eye Care LLC

  dba Dawson Vision

  • Optometrist
  • Dawsonville, GA
  • NPI 1609768464
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362960000000",
    "number": "1457430464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13190 OWENS WAY",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300047357",
            "telephone_number": "404-218-4912",
            "fax_number": "770-872-7463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13190 OWENS WAY",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300047357",
            "telephone_number": "404-218-4912",
            "fax_number": "770-872-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKINSON",
        "first_name": "MARK",
        "middle_name": "S",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2013-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "001046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000313046B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000313046A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; 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.

Verify at the official NPI Registry.