Active NPI
Beverly Mark, O.D.
- Optometrist
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 8535
- Practice address
- 3251 20TH Ave Ste 219
San Francisco, CA 94132-1918 - Phone
- (415) 566-9292
- NPI assigned
- Jan 16, 2007
- Last updated
- Dec 6, 2016
- Sex
- Female
- 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 | 8535 | CA | Primary |
Addresses
Primary practice location
3251 20TH Ave Ste 219
San Francisco, CA 94132-1918
Mailing address
2245 Moraga St
San Francisco, CA 94122-4232
Phone (415) 665-2809
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5515 Geary Blvd
San Francisco, CA 94121-2208
Phone (415) 387-3553
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8535 | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Vision PC | Optometrist | Current | Accepting new patients |
| J Pietrantonio OD Inc | Optometrist | Past | Accepting new patients |
Locations
5092 Warner Ave
Huntington Beach, CA 92649
Phone (714) 816-4479
233 N Santa Cruz Ave
Los Gatos, CA 95030
Phone (408) 354-9310
27271 Las Ramblas
Ste 210
Mission Viejo, CA 92691
3251 20th Ave
Ste 231
San Francisco, CA 94132
Phone (415) 564-7785
5515 Geary Blvd
San Francisco, CA 94121
Phone (415) 387-3553
Organizations & group practices 2
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": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480982400000",
"number": "1578614418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2245 MORAGA ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941224232",
"telephone_number": "415-665-2809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3251 20TH AVE STE 219",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941321918",
"telephone_number": "415-566-9292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARK",
"first_name": "BEVERLY",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2016-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "8535",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
- Mark D Bernstein MD Inc
- Mark David Levine, MD San Francisco PC (Community Psychiatry Associates)
- Mark Nayfeld Medcare Supply
- Mark Tsang, D.D.S., Inc.
- Nhi Christine Thuc Mark-Griffin, LCSW
- Jennifer C Mark, PT
- Sarah Josephine Mark, M.A., MFT
- Marka Physiotherapy Inc (Marka Health)
- Renee Serene Markels, PT, DPT
- Laura Marker
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; 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.