Active NPI
Mark Philip Sherman, M.D.
- Ophthalmology Physician
- Lubbock, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- Q3594
- Practice address
- 3611 50TH St
Lubbock, TX 79413-3911 - Phone
- (806) 792-5900
- NPI assigned
- Mar 30, 2011
- Last updated
- Jun 27, 2019
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Q3594 | TX | Primary |
Addresses
Primary practice location
3611 50TH St
Lubbock, TX 79413-3911
Mailing address
5109 80TH St
Lubbock, TX 79424-3017
Phone (502) 296-7715
Other practice location 1
5109 80th St
Lubbock, TX 79424-3017
Phone (502) 296-7715
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 345647701 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Texas Eye PA | Current | Accepting new patients | |
| West Texas Eye PA | Ophthalmology | Current | Accepting new patients |
| Cataract & Surgical Center of Lubbock LLC | Current | Accepting new patients | |
| Alliance Retina of Texas, PLLC | Past | Accepting new patients |
Locations
12210 Quaker Ave
Lubbock, TX 79424
Phone (806) 792-5900
3611 50th St
Lubbock, TX 79413
Phone (806) 792-5900
5109 80th St
Lubbock, TX 79424
Phone (806) 792-5900
Interoperability endpoints
- mark.sherman.p30@direct.avp.nextgenshare.com
Organizations & group practices 4
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.
-
- Ambulatory Surgical Clinic/Center
- Lubbock, TX
- NPI 1902802036
-
- Ophthalmology Physician
- Lubbock, TX
- NPI 1184733586
-
dba West Texas Eye Associates
- Durable Medical Equipment & Medical Supplies
- Midland, TX
- NPI 1063212157
-
dba Alliance Retina
- Retina Specialist (Ophthalmology) Physician
- Fort Worth, TX
- NPI 1346787157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561593600000",
"number": "1720377799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5109 80TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794243017",
"telephone_number": "502-296-7715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3611 50TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794133911",
"telephone_number": "806-792-5900"
}
],
"practiceLocations": [
{
"address_1": "5109 80th St",
"address_purpose": "LOCATION",
"city": "Lubbock",
"state": "TX",
"postal_code": "794243017",
"country_code": "US",
"telephone_number": "502-296-7715",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHERMAN",
"first_name": "MARK",
"middle_name": "PHILIP",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-30",
"last_updated": "2019-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TX",
"license": "Q3594",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "345647701",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.