Mark Willinger, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

176855 Issued in OH

Practice address

5135 N Dixie Dr
Dayton, OH 45414-3944

Phone

(937) 277-9991

Fax

(937) 277-9719

NPI assigned

Jul 13, 2006

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 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Brighteyes Inc.

  • Durable Medical Equipment & Medical Supplies
  • Dayton, OH
  • NPI 1811179351
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1558386953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5135 N DIXIE DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454143944",
            "telephone_number": "937-277-9991",
            "fax_number": "937-277-9719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5135 N DIXIE DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454143944",
            "telephone_number": "937-277-9991",
            "fax_number": "937-277-9719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLINGER",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "176855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0711895",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lashawn Williamson
• Latesa Williamson
• Melissa Williamson, AGAC-NP
• Stephanie Williamson
• Sarah A Willin, COTA/L
• Carly G Willis
• Cassandra L Willis
• Deborah Willis
• Jordyn Willis
• Tameka Wills

• Optometrist in Dayton, OH
• Providers in Dayton, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.