DR. MARK ALBERT BREEDEN OD
NPI 1063747145
Optometrist in Eagle Point, OR

Q: What is Mark Breeden's NPI number?

The NPI number for Mark Breeden is 1063747145. It was assigned to this individual provider in the NPPES registry on October 7, 2009. The provider is also known as Mark Albert Breeden Od, Inc.

Q: What is Mark Breeden's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Breeden was last updated on August 31, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 07, 2009PECOS Enrolled

11500 HANNON RD, EAGLE POINT, OR 97524(541) 849-3168 Get Directions Write a Review

NPPES record last updated: August 31, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Mark Albert Breeden Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARK ALBERT BREEDEN OD (NPI 1063747145) is an individual optometrist in Eagle Point, Oregon, licensed in Oregon (3410ATI) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063747145

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. MARK ALBERT BREEDENCredential: OD

Location Address11500 HANNON RDEagle Point, OR 97524-9598

Mailing Address1801 Poplar Dr Apt 44Medford, OR 97504-4675 · (541) 840-3168

Phone(541) 849-3168

Sole ProprietorNo

Enumeration DateOctober 7, 2009

Last NPPES UpdateAugust 31, 2011

✔ NPI 1063747145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in OR · 3410ATI

Definition

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

11500 HANNON RD, Eagle Point, OR 97524

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Other Names 1

Professional Name (2)Mark Albert Breeden Od, Inc

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark Albert Breeden Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mark Breeden reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Atlas Eye Group LLC

207 mi

Optometrist

7826 SW CAPITOL HWY
Portland, OR 97219

Reassigned Medicare billing, Oregon enrollment
3 clinicians in this Medicare group

NPI 1376903328 (541) 740-4942

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97524 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.25 typical visit price

range $54.96 – $166.64

Typical copayment $31.56 (range $13.74 – $41.66)

Most-billed visit code 99204

Established Patient

$68.64 typical visit price

range $17.68 – $136.19

Typical copayment $17.16 (range $4.42 – $34.04)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WAL-MART STORES, INC.

Technician/Technologist (Optician)