Individual provider Active NPI

Mark G. Birkmann, O.D.

  • Optometrist
  • Georgetown, TX
National Provider Identifier
1609880889
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9137TG Issued in TX
Practice address
1013 W University Ave Ste 135
Georgetown, TX 78628-5359
Phone
(512) 869-8821
Fax
(512) 869-8849
NPI assigned
Jul 27, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9137TG TX Primary

Addresses

Primary practice location

1013 W University Ave Ste 135
Georgetown, TX 78628-5359

Mailing address

1013 W University Ave Ste 135
Georgetown, TX 78628-5359
Phone (512) 869-8821

Other practice location 1

320 Washington Ave
Washington, MO 63090-3218
Phone (636) 239-2179

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20171212001250 TX Practitioner - Optometry 8628105616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1013 W University Ave
Suite 135
Georgetown, TX 78628-5359
Phone (512) 869-8821

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9137TXMDAddiction (Substance Use Disorder) Counselor
9137TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Birkmann Eye Associates PLLC Optometrist CurrentSince Sep 12, 2017 Accepting new patients
Birkmann Optical LLC Optometrist Current Accepting new patients

Locations

1013 W University Ave
Ste 135
Georgetown, TX 78628
Phone (512) 869-8821

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1609880889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 W UNIVERSITY AVE STE 135",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786285359",
            "telephone_number": "512-869-8821",
            "fax_number": "512-869-8849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 W UNIVERSITY AVE STE 135",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786285359",
            "telephone_number": "512-869-8821",
            "fax_number": "512-869-8849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "MO",
            "postal_code": "630903218",
            "country_code": "US",
            "telephone_number": "636-239-2179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIRKMANN",
        "first_name": "MARK",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9137TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.