Active NPI
Mark Feldner, DO
- Optometrist
- Vero Beach, FL
National Provider Identifier
1659021293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- DO0004253
- Practice address
- 530 21St St
Vero Beach, FL 32960-5450 - Phone
- (772) 562-2020
- Fax
- (772) 562-5874
- NPI assigned
- Mar 26, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 | DO0004253 | FL | Primary |
Addresses
Primary practice location
530 21St St
Vero Beach, FL 32960-5450
Mailing address
530 21St St
Vero Beach, FL 32960-5450
Phone (772) 562-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DO0004253 | Other | FL | ABO LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | STOREVERO@POWEROG.COM | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO0004253 | FL | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648252800000",
"number": "1659021293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 21ST ST",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329605450",
"telephone_number": "772-562-2020",
"fax_number": "772-562-5874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 21ST ST",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329605450",
"telephone_number": "772-562-2020",
"fax_number": "772-562-5874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELDNER",
"first_name": "MARK",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-03-26",
"last_updated": "2022-03-26",
"certification_date": "2022-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "FL",
"license": "DO0004253",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ABO LICENSE",
"identifier": "DO0004253",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "STOREVERO@POWEROG.COM",
"affiliation": "N",
"endpointDescription": "BUISNESS EMAIL",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "DIRECT MESSAGE",
"address_1": "530 21st St",
"city": "Vero Beach",
"state": "FL",
"country_code": "US",
"postal_code": "329605450",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.