Mark R Teunis Sr., OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TA0996 Issued in MD

Practice address

11142 Robinwood Dr
Hagerstown, MD 21742-6702

Phone

(301) 791-2020

Fax

(301) 733-6994

NPI assigned

Jul 27, 2006

Last updated

Jul 15, 2010By 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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Optometry

Education

Southern College of Optometry, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279152000000",
    "number": "1871517227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11142 ROBINWOOD DR",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "21742",
            "telephone_number": "301-791-2020",
            "fax_number": "301-733-6994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11142 ROBINWOOD DR",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217426702",
            "telephone_number": "301-791-2020",
            "fax_number": "301-733-6994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEUNIS",
        "first_name": "MARK",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2010-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA0996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "322100800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pierre Tema Wobiwo, PHARMD
• Flavine Tembu, CRNP
• Anthony Terrelonge
• Nicholas Terzulli, PTA
• Lauren Teter, PA-C
• Gunvant K Thaker, M.D.
• Jasmine Ann Thattil
• The Arc of Washington County, Inc.
• The Art Room Center for Creative Healing LLC
• The Aslan Center of Maryland

• Optometrist in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; 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.