Mark A. George, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2098T Issued in OR

Practice address

22640 SE Stark St
Gresham, OR 97030-2656

Phone

(503) 667-0441

Fax

(503) 666-6718

NPI assigned

Jul 18, 2006

Last updated

Jan 25, 2011By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

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

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.

• Optometric Care of Oregon

  dba Mt Hood Vision Center

  • Optometrist
  • Gresham, OR
  • NPI 1396400313
  Medicare reassignment NPD
• Mt. Hood Vision Center, LLC

  • Optometrist
  • Gresham, OR
  • NPI 1053476143
  Authorized official Same address or phone
• Optometric Care of Oregon

  • Optometrist
  • Eugene, OR
  • NPI 1215500855
  NPD
• On Sight Optical, Inc.

  dba Hendrix & McGuire

  • Optometrist
  • Portland, OR
  • NPI 1003972225
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295913600000",
    "number": "1942228648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22640 SE STARK ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970302656",
            "telephone_number": "503-667-0441",
            "fax_number": "503-666-6718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22640 SE STARK ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970302656",
            "telephone_number": "503-667-0441",
            "fax_number": "503-666-6718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "MARK",
        "middle_name": "A.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2011-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2098T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044222",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diane Renee Gatter, EFDA
• Yannete Gaytan
• Timothy Gazdziak, LPC
• GD Group LLC
• Feven Gebremeskel, RN
• Myron J George, LCSW
• Brooke Alexandria Geske, OTD
• Taunya Marie Gesner, LPC
• Bobak Amir Ghaheri, M.D.
• Vanessa Marie Giannattasio

• Optometrist in Gresham, OR
• Providers in Gresham, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.