Active NPI
Mark Davis Robertson, O.D.
- Optometrist
- Saipan, MP
National Provider Identifier
1720142466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0015
- Practice address
- 503900 Mooty 13 Fishermen Beachroad, Garapan
Saipan, MP 96950-3900 - Phone
- (670) 235-9090
- Fax
- (670) 235-9091
- NPI assigned
- Dec 20, 2006
- Last updated
- Jul 9, 2007
- 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 | 0015 | MP | Primary |
Addresses
Primary practice location
503900 Mooty 13 Fishermen Beachroad, Garapan
Saipan, MP 96950-3900
Mailing address
PO Box 503900
Saipan, MP 96950-3900
Phone (670) 235-9090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MP
- 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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marianas Eye Institute Inc | Optometrist | Current | Accepting new patients |
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": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1720142466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 503900",
"city": "SAIPAN",
"state": "MP",
"postal_code": "969503900",
"telephone_number": "670-235-9090",
"fax_number": "670-235-9091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503900 MOOTY 13 FISHERMEN BEACHROAD, GARAPAN",
"city": "SAIPAN",
"state": "MP",
"postal_code": "969503900",
"telephone_number": "670-235-9090",
"fax_number": "670-235-9091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTSON",
"first_name": "MARK",
"middle_name": "DAVIS",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-20",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MP",
"license": "0015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saipan, MP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.