DR. MARK AKIRA TAKESUYE OD
NPI 1558890210
Optometrist - Vision Therapy in Chicago, IL

Active since June 07, 2017PECOS EnrolledAccepts Medicare Assignment
3232 W BRYN MAWR AVE, CHICAGO, IL 60659(773) 588-4433 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Mar 22, 2019, Jun 7, 2017 (3 updates tracked since 2017).

About Dr. Mark Akira Takesuye Od NPPES

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

DR. MARK AKIRA TAKESUYE OD (NPI 1558890210) is an individual vision therapy provider in Chicago, Illinois, licensed in Illinois (46.011174) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Encino, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1558890210
Entity TypeIndividualMale
Primary Taxonomy152WV0400X
Provider Legal NameDR. MARK AKIRA TAKESUYECredential: OD
Location Address3232 W BRYN MAWR AVEChicago, IL 60659
Mailing Address3232 W Bryn Mawr AveChicago, IL 60659-3606 · (773) 588-4433
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 7, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1558890210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyOptometrist · Vision TherapyEye and Vision Services Providers
Taxonomy Code152WV0400X
License Licensed in IL · 46.011174
Definition
Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions.
Also ListedOptometristTaxonomy 152W00000X · License 46.011174 (IL)
Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License 46.011174 (IL)
Also ListedOptometrist · PediatricsTaxonomy 152WP0200X · License 46.011174 (IL)
3232 W BRYN MAWR AVE, Chicago, IL 60659

Secondary Practice Location 1

Location 16345 Balboa Blvd Ste 250Encino, CA 91316-5236 · Phone (818) 344-3937 · Fax (818) 344-1229

Accepted 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 Akira Takesuye 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 ID9335415413
PECOS Enrollment IDI20190507001185
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 2

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.
26 services24 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
25 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60659 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $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 2

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

Optometrist
3232 W BRYN MAWR AVE
CHICAGO, IL 60659
Optometrist (Vision Therapy)
3232 W BRYN MAWR AVE
CHICAGO, IL 60659

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 Takesuye's NPI number?

The NPI number for Mark Takesuye is 1558890210. It was assigned to this individual provider in the NPPES registry on June 7, 2017.

Where is Mark Takesuye located?

Mark Takesuye practices at 3232 W Bryn Mawr Ave, Chicago, IL 60659. The listed phone number is (773) 588-4433.

What is Mark Takesuye's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Vision Therapy, with taxonomy code 152WV0400X.

Is Mark Takesuye enrolled in Medicare?

Yes. Mark Takesuye 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 Takesuye 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, BlueCross BlueShield of Tennessee and Providence Health Plan list Mark Takesuye 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 Takesuye was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.