Individual provider Active NPI

Mark Hovander, O.D.

  • Corneal and Contact Management Optometrist
  • Seattle, WA
National Provider Identifier
1609846419
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
1860TX Issued in WA
Practice address
4115 University Way NE
#101
Seattle, WA 98105-6257
Phone
(206) 633-2000
Fax
(206) 633-4857
NPI assigned
Jan 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 1860TX WA Primary

Addresses

Primary practice location

4115 University Way NE
#101
Seattle, WA 98105-6257

Mailing address

4115 University Way NE
#101
Seattle, WA 98105-6257
Phone (206) 633-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20110512000647 WA Practitioner - Optometry 4082890835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4115 University Way NE
Suite 101
Seattle, WA 98105-6257
Phone (206) 633-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1860TXWAMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
University Vision Clinic, Inc. CurrentSince Apr 5, 2011 Accepting new patients

Locations

4115 University Way NE
Ste 101
Seattle, WA 98105
Phone (206) 633-2000

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.

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609846419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4115 UNIVERSITY WAY NE",
            "address_2": "#101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981056257",
            "telephone_number": "206-633-2000",
            "fax_number": "206-633-4857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 UNIVERSITY WAY NE",
            "address_2": "#101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981056257",
            "telephone_number": "206-633-2000",
            "fax_number": "206-633-4857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOVANDER",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "WA",
            "license": "1860TX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.