Jessica Mark, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC5280 Issued in FL

Practice address

4211 US Highway 27 N
Sebring, FL 33870-1917

Phone

(863) 658-3003

Fax

(863) 385-1233

NPI assigned

Sep 15, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jessica Forde Former name

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Newsom Eye and Laser Center IncGroup PAC ID 0648241190, 16 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.55 of 100Reported as group

Quality

99.98

Improvement activities

40

Cost

75.2

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.

• Newsom Eye & Laser Center Inc

  • Ophthalmology Physician
  • Tampa, FL
  • NPI 1619963493

  Optometrist

  Medicare reassignment Care Compare group NPD
• Newsom Eye & Laser Center, Inc.

  • Ophthalmology Physician
  • Clearwater, FL
  • NPI 1316615891

  Optometrist

  NPD
• Newsom Eye & Laser Center, Inc.

  • Ophthalmology Physician
  • Sebring, FL
  • NPI 1104206994

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1473897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550188800000",
    "number": "1699223974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13904 N DALE MABRY HWY STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182446",
            "telephone_number": "813-908-2020",
            "fax_number": "813-908-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 US HIGHWAY 27 N",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338701917",
            "telephone_number": "863-658-3003",
            "fax_number": "863-385-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARK",
        "first_name": "JESSICA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-15",
        "last_updated": "2019-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018930100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "FORDE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alex Marine
• Nohelia R Marini, DDS
• Mark a Ashby MD PA (Florida Psychiatric Associates)
• Mark E Jawahir MD
• Mark E. Jawahir PA (Diamond Vein and Laser Center)
• Geena L Marquez, PA
• Eric Omar Martinez Rodriguez
• Carlos Martinez, OTR/L
• Jennifer Martinez
• Josephine Marie Martinez, DPT, PT

• Optometrist in Sebring, FL
• Providers in Sebring, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; 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.