Keion Mark, O.D,

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC5282 Issued in FL

Practice address

801 E Baker St
Plant City, FL 33563-3652

Phone

(813) 653-6100

NPI assigned

Jun 21, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Suncoast Community Health Centers IncGroup PAC ID 3870402548, 30 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles (9 of 10)

Locations

Networks

• Freedom Health HMO Network

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.

• Eyebis

  • Optometrist
  • Winter Haven, FL
  • NPI 1649866815
  Medicare reassignment NPD Authorized official
• Suncoast Community Health Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Ruskin, FL
  • NPI 1285644799
  Medicare reassignment Care Compare group NPD
• Anthony Schaffer OD Mba PL

  • Optometrist
  • Sebring, FL
  • NPI 1750579850
  Medicare reassignment NPD
• Myeyedr Optometry of Florida, LLC

  • Optometrist
  • Tallahassee, FL
  • NPI 1073907028
  Medicare reassignment NPD
• Myeyedr Optometry of Florida, LLC

  • Optometrist
  • Clearwater, FL
  • NPI 1730054594
  NPD
• Myeyedr. Optometry of Florida, LLC

  • Optometrist
  • Clermont, FL
  • NPI 1922479955
  NPD
• Suncoast Community Health Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Wimauma, FL
  • NPI 1518388354
  NPD
• Suncoast Community Health Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Ruskin, FL
  • NPI 1104836600
  NPD (past)
• Suncoast Community Health Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Dover, FL
  • NPI 1144230640
  NPD (past)

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

{
    "created_epoch": "1371772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1962841072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2161 E COUNTY ROAD 540A # 254",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338133794",
            "telephone_number": "484-477-2579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E BAKER ST",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335633652",
            "telephone_number": "813-653-6100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7450 Cypress Gardens Blvd",
            "address_purpose": "LOCATION",
            "city": "Winter Haven",
            "state": "FL",
            "postal_code": "338846200",
            "country_code": "US",
            "telephone_number": "856-778-0937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARK",
        "first_name": "KEION",
        "name_prefix": "Dr.",
        "credential": "O.D,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-21",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "270A00645900",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002772",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mama'S Health Center
• Manadel LLC
• Daniel George Manfre, PT
• Anthony Carl Marcket, PT
• Antoniya Marinova Doynova, MD
• Markley Chiropractic & Acupuncture LLC
• Judy A Markley, AP
• Robyn Marjorie Markley, DC
• Martin T Girling DPM PA
• Lori Cox Martin, M.ED.

• Optometrist in Plant City, FL
• Providers in Plant City, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; 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.