Active NPI
Mark William Alpert, O.D.
- Optometrist
- Bellflower, CA
National Provider Identifier
1801892773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 04969TPA
- Practice address
- 16102 Bellflower Blvd
Bellflower, CA 90706-4606 - Phone
- (562) 867-4716
- Fax
- (562) 925-6877
- NPI assigned
- Jun 24, 2005
- Last updated
- May 14, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | NU | ||
| Optometrist | 152W00000X | 04969TPA | CA | Primary |
Addresses
Primary practice location
16102 Bellflower Blvd
Bellflower, CA 90706-4606
Mailing address
16102 Bellflower Blvd
Bellflower, CA 90706-4606
Phone (562) 867-4716
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0049690 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04969TPA | CA | MD | Optometrist |
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.
-
- Optometrist
- Bellflower, CA
- NPI 1346474616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242259200000",
"number": "1801892773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16102 BELLFLOWER BLVD",
"city": "BELLFLOWER",
"state": "CA",
"postal_code": "907064606",
"telephone_number": "562-867-4716",
"fax_number": "562-925-6877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16102 BELLFLOWER BLVD",
"city": "BELLFLOWER",
"state": "CA",
"postal_code": "907064606",
"telephone_number": "562-867-4716",
"fax_number": "562-925-6877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALPERT",
"first_name": "MARK",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-24",
"last_updated": "2009-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "04969TPA",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0049690",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bellflower, CA
- Elizabeth Almanza
- Janice Almario
- Cristina M Almeida, MD
- Alysi Alonso, CCHI 005196
- Silvia R Alonso
- Alta Los Angeles Hospitals, Inc. (Los Angeles Community Hospital at Bellflower)
- Altamed Health Services Corp (AltaMed Pharmacy Bellflower)
- Altamed Health Services Corporation (AltaMed Pharmacy - Bellflower)
- Altamed Health Services Corporation (AltaMed Pharmacy Bellflower - Infusion Suite)
- Altamed Health Services Corporation (Altamed Pharmacy - Bellflower)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.