Mark L Bryant, O.D.

Individual provider Active NPI Occupational Vision Optometrist · Cordele, GA

NPI 1508860099 · NPPES record last updated Jun 13, 2018

Key facts

NPI
1508860099
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Vision Optometrist 152WX0102X
License
001209 (GA)
Practice address
1011 N 4TH St
Cordele, GA 31015
Phone
(229) 273-0435
NPI assigned
Jun 13, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare Care Compare profile

Specialty
Optometry
Education
Southern College of Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

216 Corder Rd
Warner Robins, GA 31088-3604

Merit-based Incentive Payment System (MIPS)

Final score
90.09 of 100 (group)
Quality
90.67
Improvement activities
40
Cost
79.4

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
001209GAMDOccupational Vision Optometrist
1209GAMDAnesthesiologist Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gayton Health Centre, PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mlbryant@eyesightassoc.direct.eyemdemr.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Vision Optometrist 152WX0102X 001209 GA Yes

Addresses

Primary practice location

1011 N 4TH St
Cordele, GA 31015

Mailing address

216 Corder Rd
Warner Robins, GA 31088-3604
Phone (478) 923-5872

Other identifiers

IdentifierTypeStateIssuer
483070OtherGAAETNA
410048938OtherGARR MEDICARE
00415269AMedicaidGA
538385OtherGABCBS OF GA

Other providers in Cordele, GA

All providers in Cordele, GA · Occupational Vision Optometrist in Georgia

Sources for this page

Verify at the official NPI Registry.