Mark Wade Shirey, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

S-968-TA-542 Issued in AL

Practice address

7921 Tanner Williams Rd
Suite H
Mobile, AL 36608-8312

Phone

(251) 634-2144

Fax

(251) 634-2145

NPI assigned

Sep 6, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

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

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bay Eyes Cataract and Laser Center IncGroup PAC ID 0547206765, 18 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Bay Eyes Cataract and Laser Center, Inc.

  • Optometrist
  • Fairhope, AL
  • NPI 1396884227
  Medicare reassignment Care Compare group NPD
• Mark Shirey O.D. LLC

  • Optometrist
  • Mobile, AL
  • NPI 1720273808
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1740274885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7921 TANNER WILLIAMS RD",
            "address_2": "SUITE H",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366088308",
            "telephone_number": "251-634-2144",
            "fax_number": "251-634-2145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7921 TANNER WILLIAMS RD",
            "address_2": "SUITE H",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366088312",
            "telephone_number": "251-634-2144",
            "fax_number": "251-634-2145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIREY",
        "first_name": "MARK",
        "middle_name": "WADE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-06",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-968-TA-542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "51514440",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "S-968-TA-542",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hridhay Shailav Sheth
• Sajan Parthiv Sheth, DO
• Richard Thomas Shevlin III
• Ruth L Shields, MD
• Natalie Shipley
• Meghana Shivaprasad Kakarla
• Korey S Shively, MD
• Caitlyn Shiver
• Jeremy Wayne Shiver
• Colin Shone

• Optometrist in Mobile, AL
• Providers in Mobile, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.