Individual provider Active NPI

Mark M Ward, O.D.

  • Optometrist
  • Yakima, WA
National Provider Identifier
1679525273
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3997 Issued in WA
Practice address
5801 Summitview Ave
Yakima, WA 98908-3006
Phone
(509) 965-6405
Fax
(509) 965-5966
NPI assigned
May 16, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3997 WA Primary

Addresses

Primary practice location

5801 Summitview Ave
Yakima, WA 98908-3006

Mailing address

5801 Summitview Ave
Yakima, WA 98908-3006
Phone (509) 965-6405

Other identifiers 1

IdentifierTypeStateIssuer
2031045MedicaidWA

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
I20050810000506 WA Practitioner - Optometry 8325077324 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Vision Care of Yakima PCGroup PAC ID 3072510817, 3 clinicians

Practice addresses (Care Compare)

502 N 40TH Ave
Unit 1
Yakima, WA 98908-4319
Phone (509) 248-5552

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery69

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3997WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Yakima Neighborhood Health Services CurrentSince May 13, 2019 Accepting new patients
Apple Valley Eye Center, Inc Optometrist CurrentSince Aug 1, 2020 Accepting new patients
Family Vision Care of Yakima PC Optometrist CurrentSince Apr 10, 2023 Accepting new patients
Apple Valley Optometry PC Optometrist CurrentSince Aug 1, 2020 Accepting new patients
Yakima Neighborhood Health Services Current Accepting new patients
Yakima Neighborhood Health Services CurrentSince May 13, 2019 Accepting new patients
Shopko Stores Operating Co. LLC Past Accepting new patients

Locations

1121 S 40th Ave
Yakima, WA 98908
Phone (509) 966-8800

12 S 8th St
Yakima, WA 98901

502 N 40th Ave
Unit 1
Yakima, WA 98908
Phone (509) 248-5552

Organizations & group practices 7

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1679525273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 SUMMITVIEW AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989083006",
            "telephone_number": "509-965-6405",
            "fax_number": "509-965-5966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 SUMMITVIEW AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989083006",
            "telephone_number": "509-965-6405",
            "fax_number": "509-965-5966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "MARK",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2031045",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

Verify at the official NPI Registry.