Individual provider Active NPI

Linda Marks Doss, O.D.

  • Optometrist
  • Callahan, FL
National Provider Identifier
1609919463
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3024 Issued in FL
Practice address
542069 US Highway 1
Callahan, FL 32011-8110
Phone
(904) 879-2020
Fax
(904) 879-6401
NPI assigned
Feb 14, 2007
Last updated
Feb 12, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC3024 FL Primary

Addresses

Primary practice location

542069 US Highway 1
Callahan, FL 32011-8110

Mailing address

542069 US Highway 1
Callahan, FL 32011-8110
Phone (904) 879-2020

Other names 1

  • Dr. Linda Loy Marks Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040406000135 FL Practitioner - Optometry 1254324684 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Russell Stackhouse MD PAGroup PAC ID 9133473325, 13 clinicians

Practice addresses (Care Compare)

6 S 14TH St
Fernandina, FL 32034-3212
Phone 9042615741134

Merit-based Incentive Payment System (MIPS)

Final score
92.84 of 100Reported as group
Quality
85.67
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC3024FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyeq Optometry, PLLC Optometrist Current Accepting new patients
Russell Stackhouse MD PA CurrentSince Sep 1, 2020 Accepting new patients
Val-U-Vision of Beauclerc-Mandarin Inc Optometrist PastSince Oct 14, 2014 Accepting new patients

Locations

542069 US Highway 1
Callahan, FL 32011
Phone (904) 879-2020

6 S 14th St
Fernandina Beach, FL 32034
Phone (904) 261-5741

Organizations & group practices 4

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": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202774400000",
    "number": "1609919463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542069 US HIGHWAY 1",
            "city": "CALLAHAN",
            "state": "FL",
            "postal_code": "320118110",
            "telephone_number": "904-879-2020",
            "fax_number": "904-879-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542069 US HIGHWAY 1",
            "city": "CALLAHAN",
            "state": "FL",
            "postal_code": "320118110",
            "telephone_number": "904-879-2020",
            "fax_number": "904-879-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOSS",
        "first_name": "LINDA",
        "middle_name": "MARKS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2008-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "MARKS",
            "middle_name": "LOY",
            "prefix": "DR.",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Callahan, FL

Sources for this page

Verify at the official NPI Registry.