Mark Alan Couts, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18002062A, B Issued in IN

Practice address

202 N Main St
Culver, IN 46511-1516

Phone

(574) 842-3372

Fax

(574) 842-3372

NPI assigned

Jun 30, 2005

Last updated

Apr 28, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: mark.couts@direct.revolutionehr.com

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.

• Family Vision Clinic PC

  • Eyewear Supplier
  • Culver, IN
  • NPI 1083871297
  Authorized official Same address or phone

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209340800000",
    "number": "1831196377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 N MAIN ST",
            "city": "CULVER",
            "state": "IN",
            "postal_code": "465111516",
            "telephone_number": "574-842-3372",
            "fax_number": "574-842-3372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 N MAIN ST",
            "city": "CULVER",
            "state": "IN",
            "postal_code": "465111516",
            "telephone_number": "574-842-3372",
            "fax_number": "574-842-3372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUTS",
        "first_name": "MARK",
        "middle_name": "ALAN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2008-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002062A, B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100279120A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Noemi Adame, MD
• John R. Bernero, D.O.
• Shannon Best, M.A., L.L.P
• Erica Marie Borys, RD, CD
• Daniel R Cowell, ATC
• Culver Comm SCH Corp
• Culver Community Schools
• Culver Community Schools Corporation
• Culver Pediatrics Center, Inc

• Optometrist in Culver, IN
• Providers in Culver, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.