Mark David Pifer, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3486 Issued in OH

Practice address

1355 W Main St
Suite a
Bellevue, OH 44811-9082

Phone

(419) 483-7685

Fax

(419) 483-4694

NPI assigned

Jan 17, 2006

Last updated

Oct 21, 2020By 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

Other identifiers 1

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

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.

• Myeyedr Optometry of Ohio, LLC

  dba MyEyeDr.

  • Optometrist
  • Dayton, OH
  • NPI 1902365448
  Medicare reassignment NPD
• Advanced Family Eyecare, Inc.

  • Optometrist
  • Bellevue, OH
  • NPI 1003854266
  Authorized official Same address or phone
• Myeyedr Optometry of Ohio, LLC

  dba MyEyeDr.

  • Optometrist
  • Bellevue, OH
  • NPI 1528667789
  NPD
• Myeyedr Optometry of Ohio, LLC

  dba MyEyeDr.

  • Optometrist
  • Warren, OH
  • NPI 1720970981
  NPD

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1710966817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 W MAIN ST",
            "address_2": "SUITE A",
            "city": "BELLEVUE",
            "state": "OH",
            "postal_code": "448119082",
            "telephone_number": "419-483-7685",
            "fax_number": "419-483-4694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIFER",
        "first_name": "MARK",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0664688",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Namrata Nareshkumar Patel
• Max Louis Pavlock, D.O.
• Lillian Mae Pence, LSW
• Christopher Andrew Pensiero, DPM
• Nancy Pickens, SLP
• Lauren Pippin, MSW, LSW
• Angela R Plant, LCDC III
• Kristina Polachek
• Paul S Potter, MD
• Jacquie Raifsnider

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.