Individual provider Active NPI

Mark Alan Rasmussen, O.D.

  • Optometrist
  • Santa Fe, NM
National Provider Identifier
1881771079
Registry record updated Aug 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
371 Issued in NM
Practice address
1460 S Saint Francis Dr
1460 S Saint Francis Dr
Santa Fe, NM 87505-4038
Phone
(505) 983-7746
Fax
(505) 983-6849
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 371 NM Primary

Addresses

Primary practice location

1460 S Saint Francis Dr
1460 S Saint Francis Dr
Santa Fe, NM 87505-4038

Mailing address

1460 S Saint Francis Dr
1460 S Saint Francis Dr
Santa Fe, NM 87505-4038
Phone (505) 983-7746

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20110606000559 NM Practitioner - Optometry 3476730151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ultimate Eyecare Santa Fe LLCGroup PAC ID 0840502993, 3 clinicians

Practice addresses (Care Compare)

1651 Galisteo St
Suite 1
Santa Fe, NM 87505-4752
Phone (505) 983-7746

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
371NMMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ultimate Eyecare Santa Fe, LLC Optometrist CurrentSince Jun 1, 2015 Accepting new patients
Dr. Mark a. Rasmussen, LLC Optometrist Past Accepting new patients

Locations

1651 Galisteo St
Ste 1A
Santa Fe, NM 87505
Phone (505) 983-7746

1651 Galisteo St
Ste 1
Santa Fe, NM 87505
Phone (505) 983-7746

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346025600000",
    "number": "1881771079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 S SAINT FRANCIS DR",
            "address_2": "1460 S SAINT FRANCIS DR",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054038",
            "telephone_number": "505-983-7746",
            "fax_number": "505-983-6849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 S SAINT FRANCIS DR",
            "address_2": "1460 S SAINT FRANCIS DR",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054038",
            "telephone_number": "505-983-7746",
            "fax_number": "505-983-6849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASMUSSEN",
        "first_name": "MARK",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.