Mark Andrew Bashore, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4001T169 Issued in OH

Practice address

6380 N Ridge Rd
Madison, OH 44057-2548

Phone

(440) 428-2172

Fax

(440) 428-8677

NPI assigned

Dec 14, 2006

Last updated

May 24, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 OH

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

Ohio State University - College of Optometry, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aeg Ohio Professional PCGroup PAC ID 7618207036, 80 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aeg Ohio Professional PC

  • Optometrist
  • Solon, OH
  • NPI 1154980811
  Medicare reassignment Care Compare group NPD
• North Coast Optical

  • Optometrist
  • Madison, OH
  • NPI 1013116201
  Medicare reassignment NPD Authorized official
• Coast to Coast Vision LLC

  dba North Coast Optical

  • Optometrist
  • Madison, OH
  • NPI 1114775947
  Medicare reassignment NPD
• Aeg Ohio Professional PC

  dba Harper's Point

  • Optometrist
  • Cincinnati, OH
  • NPI 1932708047
  NPD

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274659200000",
    "number": "1710049085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6380 N RIDGE RD",
            "city": "MADISON",
            "state": "OH",
            "postal_code": "440572548",
            "telephone_number": "440-428-2172",
            "fax_number": "440-428-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6380 N RIDGE RD",
            "city": "MADISON",
            "state": "OH",
            "postal_code": "440572548",
            "telephone_number": "440-428-2172",
            "fax_number": "440-428-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASHORE",
        "first_name": "MARK",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2010-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4001T169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Margaret Bailey, M.S. CCC-SLP
• Michael Alan Baker, O.D.
• Tabitha Marie Barnum
• Robert J Barr, DPM
• Faith Barron, RN
• Crystal Lynne Basich III, DPT
• Taylor Mackenzie Becker
• Sara K Beech
• Jeanette D Behm, LPCC
• Jerry C Bell, DO

• Optometrist in Madison, OH
• Providers in Madison, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; 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.