Individual provider Active NPI

Mark Paauw, MD

  • Ophthalmology Physician
  • Jacksonville, FL
National Provider Identifier
1710515846
Registry record updated Mar 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME168044 Issued in FL
Practice address
11512 Lake Mead Ave Unit 534
Jacksonville, FL 32256-5835
Phone
(904) 564-2020
NPI assigned
Apr 1, 2020
Last updated
Mar 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X 0101283950 VA
Ophthalmology Physician 207W00000X ME168044 FL Primary
Ophthalmology Physician 207W00000X 0101283950 VA
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X ME168044 FL

Addresses

Primary practice location

11512 Lake Mead Ave Unit 534
Jacksonville, FL 32256-5835

Mailing address

11512 Lake Mead Ave Unit 534
Jacksonville, FL 32256-5835

Other practice location 1

116 Nationwide Dr
Lynchburg, VA 24502-4271
Phone (434) 947-3984

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240731003553 FL Practitioner - Ophthalmology 2163846361 Reassigns benefits to 1 organization
I20250605003988 VA Practitioner - Ophthalmology 2163846361 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Michigan State University College of Human Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Eye Center, Inc.Group PAC ID 9133146517, 8 clinicians

Practice addresses (Care Compare)

116 Nationwide Dr
Lynchburg, VA 24502-4271
Phone (434) 947-3984

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.79 of 100Reported as group
Quality
64.42
Promoting interoperability
100
Improvement activities
40
Cost
74.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME168044FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Eye Center, Inc. Ophthalmology CurrentSince May 29, 2025 Accepting new patients
North Florida Surgeons, PA CurrentSince Jul 1, 2024 Accepting new patients
North Florida Surgeons, PA CurrentSince Jul 1, 2024 Accepting new patients

Locations

11512 Lake Mead Ave
Unit 534
Jacksonville, FL 32256
Phone (904) 564-2020

11945 San Jose Blvd
Ste 102
Jacksonville, FL 32223
Phone (904) 268-3937

13453 N Main St
Ste 306
Jacksonville, FL 32218
Phone (904) 564-2020

11945 San Jose Blvd
Ste 300
Jacksonville, FL 32223

412 N Bridge St
Ste A
Bedford, VA 24523

412 N Bridge St
Bedford, VA 24523
Phone (540) 586-8842

1511 W 3rd St
Farmville, VA 23901
Phone (434) 392-9555

116 Nationwide Dr
Lynchburg, VA 24502
Phone (434) 947-3984

Organizations & group practices 3

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742601600000",
    "number": "1710515846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11512 LAKE MEAD AVE UNIT 534",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322565835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11512 LAKE MEAD AVE UNIT 534",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322565835",
            "telephone_number": "904-564-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 Nationwide Dr",
            "address_purpose": "LOCATION",
            "city": "Lynchburg",
            "state": "VA",
            "postal_code": "245024271",
            "country_code": "US",
            "telephone_number": "434-947-3984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAAUW",
        "first_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-01",
        "last_updated": "2025-03-22",
        "certification_date": "2025-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "VA",
            "license": "0101283950",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME168044",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101283950",
            "primary": false
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "FL",
            "license": "ME168044",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.