Mark Nelson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV008843 Issued in NY

Practice address

289 Genesee St
Utica, NY 13501-3823

Phone

(315) 732-1151

NPI assigned

Jul 23, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Optometry

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Costello Sr - Allen Optometrists PLLCGroup PAC ID 1951451442, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

84.62 of 100Reported as group

Quality

66.65

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Costello Sr - Allen Optometrists PLLC

  • Optometrist
  • Oneida, NY
  • NPI 1770720468

  NY, Optometrist

  Medicare reassignment Care Compare group NPD
• Eye Designs Unlimited Optometry PC

  • Optometrist
  • Utica, NY
  • NPI 1750463006
  NPD

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1669959607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135013823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135013823",
            "telephone_number": "315-732-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "MARK",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-23",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elham Neisani Samani, MD
• Gabrielle B Nellenback, NP
• Anna Cecelia Nelson, FNP
• Anne Strife Nelson, OTR
• Katie Nelson
• Elizabeth Nemcek, ADVANCED CASAC
• Michael Nemirovsky
• Desiree' Nemo
• Karen Ann Nesci, NP
• Norman Neslin, M.D.

• All providers in Utica, NY
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; 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.

Verify at the official NPI Registry.