Mark L Owens, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

941DT Issued in KY

Practice address

1748 Broadway St
Paducah, KY 42001-2706

Phone

(270) 443-9955

Fax

(270) 442-1469

NPI assigned

Feb 17, 2006

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 5

Medicare fee-for-service enrollment

Enrolled in KY

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

Southern College of Optometry, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kevin Snipes OD and Associates PSCGroup PAC ID 2163584624, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mark-o@direct.eyecare-partners.com

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.

• Kevin Snipes OD & Associates PSC

  • Optometrist
  • Louisville, KY
  • NPI 1821287335

  KY, Optometrist

  Medicare reassignment Care Compare group NPD
• Clarkson Optometry Midwest Inc

  • Optometrist
  • Centerville, OH
  • NPI 1073917597

  KY, Optometrist

  Medicare reassignment NPD
• Clarkson Optometry Midwest Inc

  • Optometrist
  • Benton, KY
  • NPI 1114475449
  NPD
• Clarkson Optometry Midwest Inc

  • Optometrist
  • Clarksville, IN
  • NPI 1295772143
  NPD

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1831164599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7009",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420027009",
            "telephone_number": "270-443-9955",
            "fax_number": "270-442-1469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1748 BROADWAY ST",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420012706",
            "telephone_number": "270-443-9955",
            "fax_number": "270-442-1469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "MARK",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "941DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "277290",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5789371",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUEGRASS FAMILY HEALTH",
            "identifier": "T54726",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77009413",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000199246",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela G Owen, LCSW
• Owens Obstetrics and Gynecology PSC
• Dennis Lee Owens, MD
• Janet L Owens, LPN
• Janine Owens, PT,DPT
• Paducah Area Physicisns, Inc
• Paducah Center for Health and Rehabilitation, LLC
• Paducah Chiropractic Center, PSC
• Paducah Dermatology PLLC
• Paducah Dermatology Surgery Center PLLC

• All providers in Paducah, KY
• Optometrist in Kentucky

• 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.