Mark A Yates, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT002225 Issued in AZ

Practice address

10701 W Bell Rd
Sun City, AZ 85351-1074

Phone

(623) 876-2020

Fax

(623) 977-6911

NPI assigned

Jul 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emilio Martin Justo MD PCGroup PAC ID 4183600810, 12 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Emilio Martin Justo MD PC

  • Ophthalmology Physician
  • Sun City, AZ
  • NPI 1801902762
  Medicare reassignment Care Compare group NPD
• Phoenix Eye Group, LLC

  • Ophthalmology Physician
  • Scottsdale, AZ
  • NPI 1982010773
  Medicare reassignment NPD

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1992724256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10701 W BELL RD",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853511074",
            "telephone_number": "623-876-2020",
            "fax_number": "623-977-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 W BELL RD",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853511074",
            "telephone_number": "623-876-2020",
            "fax_number": "623-977-6911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 W Savage St",
            "address_purpose": "LOCATION",
            "city": "Wickenburg",
            "state": "AZ",
            "postal_code": "853904235",
            "country_code": "US",
            "telephone_number": "928-684-2020",
            "fax_number": "928-684-0387",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19052 N R H Johnson Blvd",
            "address_purpose": "LOCATION",
            "city": "Sun City West",
            "state": "AZ",
            "postal_code": "853754401",
            "country_code": "US",
            "telephone_number": "623-975-2020",
            "fax_number": "623-975-7005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YATES",
        "first_name": "MARK",
        "middle_name": "A",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008349",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT002225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Traci Bedsole Woods, AU.D.
• Susan Marie Worth, SLP0178
• Erin Wright, MCJ, MA
• Ujwal Yanala, MD
• Craig Vincent Yanuszeski, DO
• Stephanie Yee
• Charan Teja Reddy Yerasi, MD
• Daniel Yim, D.D.S.
• Megan Marie Youngstead, FNP-C
• Youngtown Physical Therapy

• Optometrist in Sun City, AZ
• Providers in Sun City, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; 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.