Active NPI
Mark McMurray, O.D.
- Optometrist
- Niles, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4766T1570
- Practice address
- 1040 Youngstown Warren Rd
Niles, OH 44446-4617 - Phone
- (330) 544-9434
- Fax
- (330) 544-9433
- NPI assigned
- Oct 16, 2006
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4766T1570 | OH | Primary |
Addresses
Primary practice location
1040 Youngstown Warren Rd
Niles, OH 44446-4617
Mailing address
801 Thornberry TRL
North Lima, OH 44452-8518
Phone (330) 549-5696
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2002371 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4766T1570 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Ronald L. Detwiler, O.D. Inc. | Optometrist | Current | Accepting new patients |
| Mobile Medical, Inc. | Current | Accepting new patients | |
| Mobile Medical Inc | Optometrist | Current | Accepting new patients |
| Onsight Health Care, LLC | Past | Accepting new patients | |
| Suburban Vision Care, Inc. | Optometrist | Past | Accepting new patients |
| Mobile Medical, Inc. | Past | Accepting new patients | |
| Optical Management Systems, Inc. | Optometrist | Past | Accepting new patients |
Locations
575 White Pond Dr
Ste A
Akron, OH 44320
Phone (330) 835-1629
15655 State Route 170
Ste P
East Liverpool, OH 43920
Phone (330) 385-3895
3255 Levis Commons Blvd
Perrysburg, OH 43551
Phone (419) 874-0393
102 N Keel Ridge Rd
Hermitage, PA 16148
Phone (724) 347-0591
Organizations & group practices 7
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.
-
- Optometrist
- East Liverpool, OH
- NPI 1043406721
-
- Optometrist
- Perrysburg, OH
- NPI 1689620015
-
- Dentist
- Perrysburg, OH
- NPI 1629228572
-
- Podiatrist
- Perrysburg, OH
- NPI 1003066747
-
- Optometrist
- Warren, OH
- NPI 1255345062
-
- Podiatrist
- Harrisburg, PA
- NPI 1023249232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1508946542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 THORNBERRY TRL",
"city": "NORTH LIMA",
"state": "OH",
"postal_code": "444528518",
"telephone_number": "330-549-5696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 YOUNGSTOWN WARREN RD",
"city": "NILES",
"state": "OH",
"postal_code": "444464617",
"telephone_number": "330-544-9434",
"fax_number": "330-544-9433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMURRAY",
"first_name": "MARK",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "4766T1570",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2002371",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Niles, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.