JESSICA MARK (NPI# 1699223974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699223974 |
| Entity Type | Individual |
| Full Name | JESSICA MARK |
| Other Name | JESSICA FORDE |
| Credential | O.D. |
| Practice Address |
4211 Us Highway 27 N Sebring FL 33870-1917 |
| Mailing Address |
13904 N Dale Mabry Hwy Ste 200 Tampa FL 33618-2446 |
| Practice Telephone | 8636583003 |
| Practice Fax Number | 8633851233 |
| Mailing Telephone | 8139082020 |
| Mailing Fax Number | 8139082133 |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2019-02-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPC5280 | FL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 018930100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194102269 | Jessica Mark | Case Manager/Care Coordinator | 419 E 7th St, The Dalles, OR 97058-2676 | 2015-04-28 |
| 1598150765 | Jessica Mark | Counselor | 811 Madison St, Everett, WA 98203-4543 | 2015-04-03 |
| Street Address |
4211 US HIGHWAY 27 N |
| City | SEBRING |
| State | FL |
| Zip Code | 33870-1917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194711978 | Rejuvenation Center LLC | Surgery | 4211 Us Highway 27 N, Sebring, FL 33870 | 2005-09-27 |
| 1104206994 | Newsom Eye & Laser Center, Inc. | Optometrist | 4211 Us Highway 27 N, Sebring, FL 33870 | 2015-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790335164 | Customized Wellness, LLC | Obstetrics & Gynecology | 131 W Center Avenue, Sebring, FL 33870 | 2019-09-17 |
| 1407401177 | Divine Family Solutions, LLC | Home Health | 227 Us Hwy North, 221, Sebring, FL 33870 | 2019-08-08 |
| 1881179836 | Two Hearts Companion Homemaker Serv. | In Home Supportive Care | 3320 New York Ave, Sebring, FL 33870 | 2018-09-26 |
| 1144719154 | Hearing Healthcare Solutions Inc | Hearing Aid Equipment | 4206 Sebring Parkway, Sebring, FL 33870 | 2018-05-04 |
| 1093266017 | Choices Counseling Services, LLC | Counselor | 32313 Broadway Street Suite #306, Sebring, FL 33870 | 2016-10-14 |
| 1962959940 | Abundance, Mental Health Counseling LLC | Counselor | 32313 Broadway St, Suite 310, Sebring, FL 33870 | 2016-09-07 |
| 1205221470 | Newsom Surgery Center of Sebring LLC | Clinic/Center | 4211 Us Hwy 27 N, Sebring, FL 33870 | 2015-04-03 |
| 1063805612 | Art of Caring Home Care Services | Home Health | 113 W Center Ave, Sebring, FL 33870 | 2015-03-06 |
| 1508254228 | Lodin Health Imaging Inc | Clinic/Center | 114 -115 Medical Center Ave, Sebring, FL 33870 | 2015-01-05 |
| 1790180594 | Conrad Walters | Pharmacist | 3619 Us Hwy 27 N, Sebring, FL 33870 | 2014-10-23 |
| Find all providers in zip 33870 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982162194 | Eye Doctors Optical Outlets, Pa | Optometrist | 1712 Us Highway 27 N, Sebring, FL 33870-1921 | 2019-03-06 |
| 1255882429 | Erik Eklund | Optometrist | 3600 Us 27, Sebring, FL 33870-1691 | 2016-10-21 |
| 1033581236 | Daniel Black | Optometrist | 363 Us 27 S, Sebring, FL 33870-2140 | 2015-10-27 |
| 1629116835 | Bonnie L Fields | Optometrist | 331 South 15th St, Sebring, OH 44672 | 2007-02-01 |
| 1629073440 | Bruce Jeffries | Optometrist | 331 S 15th St, Po 278, Sebring, OH 44672-2005 | 2005-06-17 |
| 1366446627 | Valerie Moulds | Optometrist | 5032 Us 27 N, Sebring, FL 33870-1354 | 2005-06-02 |
| 1609878701 | Anthony H Schaffer | Optometrist | 3525 Us Hwy 27 N, Sebring, FL 33870-1640 | 2005-06-02 |
| 1336590033 | Marielle Alcantara | Optometrist | 3600 Us Highway 27 N, Sebring, FL 33870-1691 | 2016-06-24 |
| 1093186033 | Myeyedr Optometry of Florida, LLC | Optometrist | 3600 Us Highway 27 N, Sebring, FL 33870-1691 | 2015-10-16 |
| 1558746511 | Thuy-nga Nguyen | Optometrist | 3600 Us Highway 27 N, Sebring, FL 33870-1691 | 2015-07-20 |
| Find all providers in SEBRING | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.