Individual provider Active NPI

Mark Paul Maher, OD

  • Optometrist
  • Morgan Hill, CA
National Provider Identifier
1811049810
Registry record updated Jul 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
79887 Issued in CA
Practice address
419 Vineyard Town Center
Morgan Hill, CA 95037
Phone
(408) 779-2266
Fax
(408) 779-5051
NPI assigned
Jan 18, 2007
Last updated
Jul 2, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 79887 CA Primary

Addresses

Primary practice location

419 Vineyard Town Center
Morgan Hill, CA 95037

Mailing address

419 Vineyard Town Center
Morgan Hill, CA 95037
Phone (408) 779-2266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20090609000333 CA Practitioner - Optometry 6507916756 Reassigns benefits to 1 organization
Receives reassigned benefits from 2 practitioners
Practice locations: Morgan Hill, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mark P Maher Optometric CorporationGroup PAC ID 6709131998, 2 clinicians

Practice addresses (Care Compare)

419 Vineyard Town Ctr
Morgan Hill, CA 95037-5631
Phone (408) 779-2266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
79887CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Mark P Maher Optometric Corporation CurrentSince May 11, 2018 Accepting new patients

Locations

419 Vineyard Town Ctr
Morgan Hill, CA 95037
Phone (408) 779-2266

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278028800000",
    "number": "1811049810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 VINEYARD TOWN CENTER",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "95037",
            "telephone_number": "408-779-2266",
            "fax_number": "408-779-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 VINEYARD TOWN CENTER",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "95037",
            "telephone_number": "408-779-2266",
            "fax_number": "408-779-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHER",
        "first_name": "MARK",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2010-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "79887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgan Hill, CA

Sources for this page

Verify at the official NPI Registry.