Mark W Axford, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2019009094 Issued in MO

Practice address

640 W Chestnut St
Springfield, MO 65806-1016

Phone

(417) 869-3937

Fax

(417) 544-8675

NPI assigned

Jan 26, 2011

Last updated

Mar 22, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Pennsylvania College of Optometry, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Heffington Optical Company IncGroup PAC ID 3577682160, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

• Heffington Optical Company Inc

  dba OptiLand

  • Optician
  • Springfield, MO
  • NPI 1912052176

  Optometrist

  Medicare reassignment Care Compare group NPD
• Heffington's House of Vision Inc

  • Optometrist
  • Springfield, MO
  • NPI 1861527251
  NPD (past)
• Carolina Eyecare Physicians, LLC

  • Eyewear Supplier
  • Walterboro, SC
  • NPI 1790706927

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1932405784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5415 S FARM ROAD 141",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658102220",
            "telephone_number": "843-566-4105",
            "fax_number": "417-544-8675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 W CHESTNUT ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658061016",
            "telephone_number": "417-869-3937",
            "fax_number": "417-544-8675"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 E Woodhurst Dr",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658044281",
            "country_code": "US",
            "telephone_number": "417-882-3937",
            "fax_number": "417-351-2671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AXFORD",
        "first_name": "MARK",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-26",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2019009094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Thomas Auvil, DDS, PC
• Karen L Aviles, CRNA
• Matthew Massoud Awad, MS, PLPC
• Awaken360, Inc.
• Awh of Springfield, LLC.
• Miriam Ayala Seco, MA PSYCHOLOGY
• Natalie Azevedo, LCSW
• Joseph G. Babin, MD
• Steven Paul Baca, D.C.
• Erin McKenzie Bachus, PLPC

• Optometrist in Springfield, MO
• Providers in Springfield, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.