Individual provider Active NPI

Mark A Houser, O.D.

  • Optometrist
  • Bloomington, IN
National Provider Identifier
1740472216
Registry record updated Aug 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003478A Issued in IN
Practice address
3818 W Woodyard Rd
Bloomington, IN 47404-1430
Phone
(812) 325-3611
NPI assigned
Aug 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003478A IN Primary

Addresses

Primary practice location

3818 W Woodyard Rd
Bloomington, IN 47404-1430

Mailing address

100 Bypass 50 PLZ
Washington, IN 47501-4180
Phone (812) 254-6894

Other identifiers 1

IdentifierTypeStateIssuer
200882060MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20071030000510 IN Practitioner - Optometry 1850488305 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City Optical Co IncGroup PAC ID 5597668574, 49 clinicians

Practice addresses (Care Compare)

2552 E 3Rd St
Dr Tavel Family Eye Care
Bloomington, IN 47401-7882
Phone (812) 332-3432

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003478AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
City Optical Co., Inc. Optometrist CurrentSince Dec 7, 2023 Accepting new patients
I-Care Bloomington Inc Optometrist CurrentSince Sep 1, 2011 Accepting new patients
City Optical Co., Inc. Optometrist Past Accepting new patients
City Optical Co., Inc. Optometrist Past Accepting new patients
City Optical Co., Inc. Optometrist Past Accepting new patients
City Optical Co., Inc. Optometrist Past Accepting new patients
Midwest Eye Consultants, P.C. Optometrist Past Accepting new patients
Wal-Mart Stores East, LP Past Accepting new patients
City Optical Co., Inc. Optometrist Past Accepting new patients
Midwest Eye Consultants, PC Optometrist Past Accepting new patients

Locations

2552 E 3rd St
Bloomington, IN 47401
Phone (812) 332-3432

3205 W State Road 45
Bloomington, IN 47403
Phone (812) 333-8903

2835 Lafayette Rd
Indianapolis, IN 46222
Phone (317) 924-1300

2839 Lafayette Rd
Indianapolis, IN 46222
Phone (317) 924-1300

379 Grand Valley Blvd
Martinsville, IN 46151
Phone (765) 558-2323

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376524800000",
    "number": "1740472216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BYPASS 50 PLZ",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475014180",
            "telephone_number": "812-254-6894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3818 W WOODYARD RD",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474041430",
            "telephone_number": "812-325-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSER",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-17",
        "last_updated": "2013-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003478A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200882060",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

Verify at the official NPI Registry.