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DR. MARK J CANNON OD
NPI 1407162936
Optometrist in Seattle, WA

Active since August 21, 2010PECOS EnrolledAccepts Medicare Assignment
1906 PIKE PLACE, #8-B, SEATTLE, WA 98101(206) 448-7739(206) 448-4924 Get Directions Write a Review

NPPES record last updated: September 20, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 20, 2022, Dec 15, 2021, Dec 26, 2015 (3 updates tracked since 2015).

About Dr. Mark J Cannon Od NPPES

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

DR. MARK J CANNON OD (NPI 1407162936) is an individual optometrist in Seattle, Washington, licensed in Washington (OD60160060) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS, maintains a secondary practice location in Seattle, and is a graduate of Indiana University - School Of Optometry (2010).

NPPES Registry Identity

NPI1407162936
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MARK J CANNONCredential: OD
Location Address1906 PIKE PLACE, #8-BSeattle, WA 98101-1055
Mailing Address2602 Ne University Village St, Suite B (at Market Optical)Seattle, WA 98105-5023 · (206) 522-9323 · Fax (206) 525-3841
Phone(206) 448-7739
Fax(206) 448-4924
Sole ProprietorNo
Medical School CMSIndiana University - School Of OptometryGraduated 2010
Enumeration DateAugust 21, 2010
Last NPPES UpdateSeptember 20, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2022
✔ NPI 1407162936 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 WA · OD60160060
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.

Secondary Practice Location 1

Location 12602 NE University Village St, Suite B (at Market Optical)Seattle, WA 98105-5023 · Phone (206) 522-9323 · Fax (206) 525-3841

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mark J Cannon Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1759522204
PECOS Enrollment IDI20130725000184
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
58 services44 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
35 services22 patients
Tear film imaging of one or both eyes 0330T
Tear film imaging is a non-invasive eye test that captures images of the tear film - a thin layer of liquid covering your eyes. It helps diagnose dry eye conditions by assessing tear quality and evaporation rate. This aids in providing an effective treatment plan.
23 services20 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
20 services20 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
19 services13 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98101 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
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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 Cannon's NPI number?

The NPI number for Mark Cannon is 1407162936. It was assigned to this individual provider in the NPPES registry on August 21, 2010.

Where is Mark Cannon located?

Mark Cannon practices at 1906 Pike Place, #8-B, Seattle, WA 98101. The listed phone number is (206) 448-7739.

What is Mark Cannon's specialty?

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

Is Mark Cannon enrolled in Medicare?

Yes. Mark Cannon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mark Cannon accept?

Health plans from PacificSource Health Plans and Premera Blue Cross Blue Shield of Alaska list Mark Cannon 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 Cannon was last updated on September 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.