Individual provider Active NPI

Mark Wesley Osorio, O.D.

  • Optometrist
  • Livonia, MI
National Provider Identifier
1467666248
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004087 Issued in MI
Practice address
29500 7 Mile Rd
Livonia, MI 48152-1910
Phone
(248) 477-2662
NPI assigned
May 10, 2007
Sex
Male
Sole proprietor
No

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 4901004087 MI Primary

Addresses

Primary practice location

29500 7 Mile Rd
Livonia, MI 48152-1910

Mailing address

5893 Tower Rd
Plymouth, MI 48170-5032
Phone (734) 459-1297

Other identifiers 1

IdentifierTypeStateIssuer
9000H11345-0OtherMIBSBC OF MI.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, TX, AK3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20050806000087 MI Practitioner - Optometry 6204865660 Reassigns benefits to 3 organizations
I20141208001197 TX Practitioner - Optometry 6204865660 Reassigns benefits to 1 organization
I20240905002820 AK Practitioner - Optometry 6204865660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Onsight IncGroup PAC ID 6507938800, 27 clinicians

Practice addresses (Care Compare)

601 Abbot Rd
East Lansing, MI 48823-3366
Phone 24852821166

Merit-based Incentive Payment System (MIPS)

Final score
92.82 of 100Reported as group
Quality
61.63
Promoting interoperability
100
Improvement activities
40
Cost
81.1

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Guys LLC Optometrist CurrentSince Aug 6, 2024 Accepting new patients
Pueblo of Jemez CurrentSince Aug 17, 2015 Accepting new patients
Pueblo of Jemez CurrentSince Aug 17, 2015 Accepting new patients
SVS Vision Inc Optometrist CurrentSince Sep 18, 2018 Accepting new patients
Onsight, Inc. CurrentSince Aug 21, 2024 Accepting new patients
SVS Vision Inc Optometrist CurrentSince Sep 18, 2018 Accepting new patients
Onsight, Inc. CurrentSince Aug 21, 2024 Accepting new patients
Onsight, Inc. Current Accepting new patients
Bay Mills Indian Community Current Accepting new patients
Bay Mills Indian Community CurrentSince Jan 1, 2025 Accepting new patients
Bay Mills Indian Community Optometrist CurrentSince Jan 1, 2025 Accepting new patients
Kenzie Eye Care Inc. Optometrist Past Accepting new patients
Onsight, Inc. Optometrist Past Accepting new patients
Xeyes, Inc. Optometrist Past Accepting new patients
Kenzie Eye Care Inc. Optometrist Past Accepting new patients
Eye Guys Optometrist PastSince Aug 6, 2024 Accepting new patients
Yaldo Eye Centers PC Past Accepting new patients
Giaimo Mobile Podiatry of WV PLLC Past Accepting new patients

Locations

285 E Parks Hwy
Wasilla, AK 99654
Phone (907) 376-3917

455 E Grand River Ave
Brighton, MI 48116
Phone (810) 227-2376

12455 W Lakeshore Dr
Brimley, MI 49715
Phone (906) 248-5527

26671 Ford Rd
Dearborn Heights, MI 48127
Phone (734) 458-5181

2567 W Grand Blvd
Detroit, MI 48208
Phone (313) 895-2990

21427 Grand River Ave
Ste A200
Detroit, MI 48219
Phone (313) 676-4020

601 Abbott Rd
East Lansing, MI 48823
Phone 24852821166

118 Cass Ave
Mount Clemens, MI 48043
Phone (586) 464-1479

18835 Traditions Dr
Northville, MI 48168
Phone (248) 305-1600

23055 Coolidge Hwy
Oak Park, MI 48237
Phone (248) 399-1556

9371 Telegraph Rd
Redford, MI 48239
Phone (313) 240-7551

22320 Goddard Rd
Taylor, MI 48180
Phone (313) 299-8870

3110 Van Horn Rd
Trenton, MI 48183
Phone (734) 675-8197

1200 Kirts Blvd
Ste 200
Troy, MI 48084
Phone 24852819814031

10791 Belleville Rd
Van Buren Township, MI 48111
Phone (734) 391-3080

29660 S Wixom Rd
Wixom, MI 48393
Phone (248) 313-5500

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1467666248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5893 TOWER RD",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481705032",
            "telephone_number": "734-459-1297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29500 7 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521910",
            "telephone_number": "248-477-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSORIO",
        "first_name": "MARK",
        "middle_name": "WESLEY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSBC OF MI.",
            "identifier": "9000H11345-0",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.