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MARK WILLIAM WALDMIRE
NPI 1154313963
Optometrist in Sacramento, CA

Active since August 17, 2005PECOS Enrolled
4633 WHITNEY AVE, SUITE A, SACRAMENTO, CA 95821(916) 487-1717(916) 487-3081 Get Directions Write a Review

NPPES record last updated: February 23, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mark William Waldmire NPPES

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

MARK WILLIAM WALDMIRE (NPI 1154313963) is an individual optometrist in Sacramento, California, licensed in California (10098T) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of University Of California - School Of Optometry (1993).

NPPES Registry Identity

NPI1154313963
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMARK WILLIAM WALDMIRE
Location Address4633 WHITNEY AVE, SUITE ASacramento, CA 95821-4100
Mailing Address4633 Whitney Ave, Suite ASacramento, CA 95821-4100 · (916) 487-1717
Phone(916) 487-1717
Fax(916) 487-3081
Sole ProprietorYes
Medical School CMSUniversity Of California - School Of OptometryGraduated 1993
Enumeration DateAugust 17, 2005
Last NPPES UpdateFebruary 23, 2015
✔ NPI 1154313963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CA · 10098T
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.
4633 WHITNEY AVE, Sacramento, CA 95821
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Other Identifiers 6

Medicare UPINU51123CA
Medicare PINFW154ACA
MedicaidSD0100980CA
Medicare PINFW161Z
Medicare NSC3939210001CA
Medicare PINSD0100980CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark William Waldmire is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9133280902
PECOS Enrollment IDI20081211000603
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95821 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
$137.20 typical visit price
range $60.44 – $180.85
Typical copayment $34.30 (range $15.11 – $45.21)
Most-billed visit code 99204
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
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

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

EYE 2 EYE FAMILY OPTOMETRY, P.C.
Optometrist
4633 WHITNEY AVE, SUITE A
SACRAMENTO, CA 95821
Sacramento County (916) 487-1717

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Waldmire's NPI number?

The NPI number for Mark Waldmire is 1154313963. It was assigned to this individual provider in the NPPES registry on August 17, 2005.

Where is Mark Waldmire located?

Mark Waldmire practices at 4633 Whitney Ave Suite A, Sacramento, CA 95821. The listed phone number is (916) 487-1717.

What is Mark Waldmire's specialty?

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

Is Mark Waldmire enrolled in Medicare?

Yes. Mark Waldmire is registered in the Medicare PECOS enrollment system.

What insurance does Mark Waldmire accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Mark Waldmire as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mark Waldmire was last updated on February 23, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.