Individual provider Active NPI

Mark Kevin Harmon, M.D.

  • Ophthalmology Physician
  • Beaumont, TX
National Provider Identifier
1932102290
Registry record updated Oct 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
H7063 Issued in TX
Practice address
3345 Plaza 10 Dr
Ste B
Beaumont, TX 77707-2553
Phone
(409) 833-0444
Fax
(409) 833-9039
NPI assigned
May 31, 2005
Last updated
Oct 2, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X H7063 TX Primary

Addresses

Primary practice location

3345 Plaza 10 Dr
Ste B
Beaumont, TX 77707-2553

Mailing address

3345 Plaza 10 Dr
Suite B
Beaumont, TX 77707-2553
Phone (409) 833-0444

Other identifiers 1

IdentifierTypeStateIssuer
136251904MedicaidTX

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100329001123 TX Practitioner - Ophthalmology 0749316735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Oklahoma College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Centers of Southeast Texas LLPGroup PAC ID 0143252536, 17 clinicians

Practice addresses (Care Compare)

3345 Plaza 10 Dr
Suite B
Beaumont, TX 77707-2553
Phone (409) 833-0444

Merit-based Incentive Payment System (MIPS)

Final score
96.67 of 100Reported as individual
Quality
93.33
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery693

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
H7063TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Centers of Southeast Texas LLP Ophthalmology CurrentSince May 8, 1990 Accepting new patients

Locations

3345 Plaza 10 Dr
Ste B
Beaumont, TX 77707
Phone (409) 833-0009

Interoperability endpoints

  • Direct secure messaging: mharmon@ecsetx.intellechartdirect.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349136000000",
    "number": "1932102290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3345 PLAZA 10 DR",
            "address_2": "SUITE B",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777072553",
            "telephone_number": "409-833-0444",
            "fax_number": "409-833-9039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3345 PLAZA 10 DR",
            "address_2": "STE B",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777072553",
            "telephone_number": "409-833-0444",
            "fax_number": "409-833-9039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARMON",
        "first_name": "MARK",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2012-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "H7063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136251904",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.