Active NPI
Mark L Bryant, O.D.
- Occupational Vision Optometrist
- Cordele, GA
National Provider Identifier
1508860099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Vision Optometrist
- License
- 001209
- Practice address
- 1011 N 4TH St
Cordele, GA 31015 - Phone
- (229) 273-0435
- NPI assigned
- Jun 13, 2005
- Last updated
- Jun 13, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Vision Optometrist | 152WX0102X | 001209 | GA | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- 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
- Quality
- 90.67
- Improvement activities
- 40
- Cost
- 79.4
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 15 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001209 | GA | MD | Occupational Vision Optometrist |
| 1209 | GA | MD | Anesthesiologist Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gayton Health Centre, PC | Past | Accepting new patients |
Interoperability endpoints
- mlbryant@eyesightassoc.direct.eyemdemr.com
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, 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": "1118620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528848000000",
"number": "1508860099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "216 CORDER RD",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310883604",
"telephone_number": "478-923-5872",
"fax_number": "478-922-9020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 N 4TH ST",
"city": "CORDELE",
"state": "GA",
"postal_code": "31015",
"telephone_number": "229-273-0435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYANT",
"first_name": "MARK",
"middle_name": "L",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-13",
"last_updated": "2018-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "152WX0102X",
"taxonomy_group": "",
"desc": "Optometrist, Occupational Vision",
"state": "GA",
"license": "001209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cordele, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.