Active NPI
Mark Coan, OD
- Optometrist
- Ocoee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC 2988
- Practice address
- 10101 W Colonial Dr
Suite 100
Ocoee, FL 34761-4213 - Phone
- (407) 445-5170
- Fax
- (407) 299-5036
- NPI assigned
- Jul 26, 2006
- Last updated
- Mar 7, 2008
- Sex
- Male
- Sole proprietor
- No
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 | OPC 2988 | FL | Primary |
Addresses
Primary practice location
10101 W Colonial Dr
Suite 100
Ocoee, FL 34761-4213
Mailing address
10101 W Colonial Dr
Suite 100
Ocoee, FL 34761-6800
Phone (407) 445-5170
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10101 W Colonial Dr
Ocoee, FL 34761-4213
Phone (407) 445-5170
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC 2988 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roxanne Achong OD, PA | Optometrist | Current | Accepting new patients |
Locations
10101 W Colonial Dr
Ste 100
Ocoee, FL 34761
Phone (407) 445-5170
10101 W Colonial Dr
Ocoee, FL 34761
Phone (407) 445-5170
Organizations & group practices 1
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": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204848000000",
"number": "1689698599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10101 W COLONIAL DR",
"address_2": "SUITE 100",
"city": "OCOEE",
"state": "FL",
"postal_code": "347616800",
"telephone_number": "407-445-5170",
"fax_number": "407-299-5036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10101 W COLONIAL DR",
"address_2": "SUITE 100",
"city": "OCOEE",
"state": "FL",
"postal_code": "347614213",
"telephone_number": "407-445-5170",
"fax_number": "407-299-5036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COAN",
"first_name": "MARK",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2008-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC 2988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ocoee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; 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.