Marc Todd Landes, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

6212 Issued in OH

Practice address

905 Singletary Dr
Streetsboro, OH 44241-3975

Phone

(330) 422-2168

Fax

(330) 422-2170

NPI assigned

Jun 15, 2013

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 2

Medicare fee-for-service enrollment

Enrolled in OH

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

Illinois College of Optometry at Chicago, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr. Allison Landes, LLCGroup PAC ID 5890081293, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.63 of 100Reported as group

Quality

100

Improvement activities

40

Cost

72.1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mlandes@landeseye.direct.eyemdemr.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.

• Dr. Allison Landes, LLC

  • Ophthalmology Physician
  • Fairlawn, OH
  • NPI 1316390156
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1371254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453161600000",
    "number": "1831538552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2234 CROSS CREEK TRL",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442231273",
            "telephone_number": "330-606-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 SINGLETARY DR",
            "city": "STREETSBORO",
            "state": "OH",
            "postal_code": "442413975",
            "telephone_number": "330-422-2168",
            "fax_number": "330-422-2170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDES",
        "first_name": "MARC",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-15",
        "last_updated": "2016-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0085936",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0129078",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Devaughn R Kordan, MA.ED, BCBA, COBA
• Matthew Kremser, D.D.S.
• Virginia C Kruger, CNP
• Noor Kutkut
• Josiah Lander, PA-C
• Isabelle Escano Lane, D.O.
• Cicely Lange
• Michael A Lara I
• Patricia Lara
• Ekua Laryea, PHARMD

• Optometrist in Streetsboro, OH
• Providers in Streetsboro, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; 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.