Individual provider Active NPI

Mark Daniel Sturm, O.D.

  • Optometrist
  • Georgetown, TX
National Provider Identifier
1861706202
Registry record updated Aug 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7643TG Issued in TX
Practice address
1013 W University Ave
Ste 135
Georgetown, TX 78628-5340
Phone
(512) 869-8821
Fax
(512) 869-8849
NPI assigned
Jul 27, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7643TG TX Primary

Addresses

Primary practice location

1013 W University Ave
Ste 135
Georgetown, TX 78628-5340

Mailing address

1013 W University Ave
Ste 135
Georgetown, TX 78628-5340
Phone (512) 869-8821

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20111027000485 TX Practitioner - Optometry 8224201884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

901C Hwy 80
San Marcos, TX 78666-8115
Phone (512) 353-0588

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7643TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
San Marcos Vision Center Optometrist CurrentSince Sep 1, 2016 Accepting new patients
San Marcos Vision Center Optometrist Past Accepting new patients

Locations

901C Highway 80
San Marcos, TX 78666
Phone (512) 353-0588

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312156800000",
    "number": "1861706202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 W UNIVERSITY AVE",
            "address_2": "STE 135",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786285340",
            "telephone_number": "512-869-8821",
            "fax_number": "512-869-8849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 W UNIVERSITY AVE",
            "address_2": "STE 135",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786285340",
            "telephone_number": "512-869-8821",
            "fax_number": "512-869-8849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STURM",
        "first_name": "MARK",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-27",
        "last_updated": "2011-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7643TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.