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DR. MARK NIKAJ O.D.
NPI 1356930630
Optometrist in Savannah, GA

Active since January 12, 2021PECOS Enrolled
7917 ABERCORN ST, SAVANNAH, GA 31406(912) 421-3350 Get Directions Write a Review

NPPES record last updated: June 23, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 23, 2021, Apr 19, 2021, Jan 12, 2021 (3 updates tracked since 2021).

About Dr. Mark Nikaj O.d. NPPES

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

DR. MARK NIKAJ O.D. (NPI 1356930630) is an individual optometrist in Savannah, Georgia, licensed in Georgia (OPT003325) and active in the NPI registry since January 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356930630
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MARK NIKAJCredential: O.D.
Location Address7917 ABERCORN STSavannah, GA 31406-3414
Mailing Address100 Town Center Dr Apt 5306Garden City, GA 31405-9566 · (562) 774-6450
Phone(912) 421-3350
Sole ProprietorYes
Enumeration DateJanuary 12, 2021
Last NPPES UpdateJune 23, 20213 updates tracked since enumeration
NPPES CertifiedJune 23, 2021
✔ NPI 1356930630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in GA · OPT003325✔ Licensed in CA · OPT34786TLG
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.
7917 ABERCORN ST, Savannah, GA 31406
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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 Nikaj O.d. 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 Nikaj reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gulf Coast Optometry, PA
289 mi
Corneal and Contact Management
1725 W DR MARTIN LUTHER KING JR BLVD
Tampa, FL 33607
  • Reassigned Medicare billing, Georgia enrollment
  • 13 clinicians in this Medicare group
NPI 1083859409 (239) 800-1717

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 31406 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

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 Nikaj's NPI number?

The NPI number for Mark Nikaj is 1356930630. It was assigned to this individual provider in the NPPES registry on January 12, 2021.

Where is Mark Nikaj located?

Mark Nikaj practices at 7917 Abercorn St, Savannah, GA 31406. The listed phone number is (912) 421-3350.

What is Mark Nikaj's specialty?

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

Is Mark Nikaj enrolled in Medicare?

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

Which organization bills Medicare for Mark Nikaj's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Nikaj reassigns Medicare benefits to Gulf Coast Optometry, PA (Tampa, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Nikaj's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Nikaj accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 7 other insurers list Mark Nikaj 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 Nikaj was last updated on June 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.