Individual provider Active NPI

Mark Anthony Plumb, O.D.

  • Optometrist
  • Royal Palm Beach, FL
National Provider Identifier
1952474140
Registry record updated Apr 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC003267 Issued in FL
Practice address
11388 Okeechobee Blvd
Royal Palm Beach, FL 33411-8705
Phone
(561) 795-8833
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC003267 FL Primary

Addresses

Primary practice location

11388 Okeechobee Blvd
Royal Palm Beach, FL 33411-8705

Mailing address

10652 Old Hammock Way
Wellington, FL 33414-3148
Phone (561) 596-9775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100805000812 FL Practitioner - Optometry 5395878797 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1994
Medicare assignment
May accept Medicare assignment
Group practices
Jeffrey D. Hixenbaugh, O.D., P.a.Group PAC ID 1850416553, 3 clinicians

Practice addresses (Care Compare)

11388 Okeechobee Blvd
Suite a
Royal Palm Beach, FL 33411-8705
Phone (561) 795-8833

3101 Pga Blvd
Suite A101
Palm Beach Gardens, FL 33410-2812
Phone (561) 627-8185

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC003267FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mark a Plumb OD PA Optometrist CurrentSince Jan 13, 2010 Accepting new patients
Jeffrey D. Hixenbaugh, O.D., P.a. Optometrist CurrentSince Jan 3, 2011 Accepting new patients
Plumb Optical, Inc. D.B.a. Your Eyes Only Optometrist Past Accepting new patients

Locations

3101 Pga Blvd
Ste A101
Palm Beach Gardens, FL 33410
Phone (561) 627-8185

11388 Okeechobee Blvd
Ste A
Royal Palm Beach, FL 33411
Phone (561) 795-8833

Organizations & group practices 3

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522627200000",
    "number": "1952474140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10652 OLD HAMMOCK WAY",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334143148",
            "telephone_number": "561-596-9775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11388 OKEECHOBEE BLVD",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334118705",
            "telephone_number": "561-795-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUMB",
        "first_name": "MARK",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2018-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC003267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.