Individual provider Active NPI

Mark Anthony Latina, MD

  • Ophthalmology Physician
  • Reading, MA
National Provider Identifier
1801886346
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
48630 Issued in MA
Practice address
20 Pondmeadow Dr Ste 203
Reading, MA 01867-3261
Phone
(781) 942-9876
Fax
(781) 942-9877
NPI assigned
Oct 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 48630 MA Primary

Addresses

Primary practice location

20 Pondmeadow Dr Ste 203
Reading, MA 01867-3261

Mailing address

20 Pondmeadow Dr Ste 203
Reading, MA 01867-3261
Phone (781) 942-9876

Other identifiers 3

IdentifierTypeStateIssuer
048630OtherMATUFTS HEALTH PLAN
J04369OtherMABCBS MA
3013341MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050331000018 MA Practitioner - Ophthalmology 3274506720 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Connecticut School of Medicine, 1980
Medicare assignment
May accept Medicare assignment
Group practices
Andover Eye Associates IncGroup PAC ID 4486627866, 11 clinicians
Specialty Eye Consultants, LLCGroup PAC ID 2264964774, 7 clinicians
Specialty Eye Consultants 2 LLCGroup PAC ID 4880115682, 6 clinicians

Practice addresses (Care Compare)

138 Haverhill St
Suite 104
Andover, MA 01810-1501
Phone (978) 475-0705

20 Pondmeadow Dr
Suite 203
Reading, MA 01867-3261
Phone (781) 942-9876

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
48630MAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Glaucoma Specialists Ophthalmology Current Accepting new patients
Mark a Latina LLC Ophthalmology CurrentSince Jan 1, 2023 Accepting new patients
Specialty Eye Consultants 2 LLC Ophthalmology CurrentSince Jan 1, 2025 Accepting new patients
Andover Eye Associates, Inc Ophthalmology CurrentSince Jan 2, 1985 Accepting new patients
Mark a. Latina Ophthalmology CurrentSince Jan 2, 1985 Accepting new patients
Specialty Eye Consultants LLC Ophthalmology CurrentSince Sep 18, 2024 Accepting new patients

Locations

138 Haverhill St
Ste 104
Andover, MA 01810
Phone (508) 475-0705

138 Haverhill St
Andover, MA 01810
Phone (978) 296-2302

20 Pondmeadow Dr
Ste 203
Reading, MA 01867
Phone (781) 891-6377

20 Pondmeadow Dr
Reading, MA 01867
Phone (781) 942-9876

607 North Ave
#15
Wakefield, MA 01880
Phone (781) 395-0457

1440 Main St
Ste 201
Waltham, MA 02451
Phone (781) 891-6377

Interoperability endpoints

  • Direct secure messaging: latina.mark.ags@direct.partners.masshiway.net
  • Direct secure messaging: latina.mark@elincdirect.org
  • Direct secure messaging: mlatina@andovereye.intellechartdirect.net
  • Direct secure messaging: mlatina28745@tuftsmedicine.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291248000000",
    "number": "1801886346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PONDMEADOW DR STE 203",
            "city": "READING",
            "state": "MA",
            "postal_code": "018673261",
            "telephone_number": "781-942-9876",
            "fax_number": "781-942-9877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PONDMEADOW DR STE 203",
            "city": "READING",
            "state": "MA",
            "postal_code": "018673261",
            "telephone_number": "781-942-9876",
            "fax_number": "781-942-9877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATINA",
        "first_name": "MARK",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2010-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "48630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "048630",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA",
            "identifier": "J04369",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3013341",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, MA

Sources for this page

Verify at the official NPI Registry.