Mark S Feder, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1047 Issued in CT

Practice address

5 Eversley Ave
Suite 104
Norwalk, CT 06851-5821

Phone

(203) 853-1010

NPI assigned

Oct 13, 2006

Last updated

Mar 12, 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 6

Medicare fee-for-service enrollment

Enrolled in CT

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

State University of New York - State College Optometry, 1983

Medicare assignment

May accept Medicare assignment

Group practices

Norwalk Eye Care LLCGroup PAC ID 3577613587, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Norwalk Eye Care LLC

  • Optometrist
  • Norwalk, CT
  • NPI 1386886125
  Medicare reassignment Care Compare group NPD Authorized official
• Mark S. Feder, O.D.

  • Optometrist
  • Norwalk, CT
  • NPI 1487838082
  NPD (past) Authorized official

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268352000000",
    "number": "1912097825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 EVERSLEY AVE",
            "address_2": "SUITE 104",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068515821",
            "telephone_number": "203-853-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 EVERSLEY AVE",
            "address_2": "SUITE 104",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068515821",
            "telephone_number": "203-853-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDER",
        "first_name": "MARK",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2010-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "1047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC NSC#",
            "identifier": "0177510001",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "1047",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "263271976",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AS OF 2009",
            "identifier": "090001047CT02",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P464831",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ID #",
            "identifier": "090001047CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Naureen Fatima
• Danielle M Faux, PT
• Nancy Aline Fawcett, MSW
• Amy Feder, LCSW
• Danielle Jaclyn Feder, OD
• Theresa Federici, ED.D, LCSW,LMSW
• Matthew Fedro, DPT
• Mark E Feigen, DMD
• Bianca Feliz
• Clifford W Feller, MD

• Optometrist in Norwalk, CT
• Providers in Norwalk, CT by specialty
• Optometrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.