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DR. MARK S FONTAINE O.D.
NPI 1710026943
Optometrist in Leominster, MA

Active since February 05, 2007PECOS EnrolledAccepts Medicare Assignment
59 N MAIN ST, LEOMINSTER, MA 01453(978) 537-6324(978) 537-0804 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mark S Fontaine O.d. NPPES

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

DR. MARK S FONTAINE O.D. (NPI 1710026943) is an individual optometrist in Leominster, Massachusetts, licensed in Massachusetts (3424) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (1988).

NPPES Registry Identity

NPI1710026943
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MARK S FONTAINECredential: O.D.
Location Address59 N MAIN STLeominster, MA 01453-5507
Mailing Address59 N Main StLeominster, MA 01453-5507 · (978) 537-6324 · Fax (978) 537-0804
Phone(978) 537-6324
Fax(978) 537-0804
Sole ProprietorYes
Medical School CMSNew England College Of OptometryGraduated 1988
Enumeration DateFebruary 5, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1710026943 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 MA · 3424
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.
59 N MAIN ST, Leominster, MA 01453
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Other Names 1

Other Name (5)Dr. Mark S Fontaine Optometrist

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Providence Health Plan.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 S Fontaine O.d. 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 ID3476615808
PECOS Enrollment IDI20081219000015
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 5

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.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
1,545 services12 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
438 services437 patients
Extended exam of the back part of the eye with retinal drawing 92201
This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.
117 services117 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.
29 services29 patients
New patient problem focused exam of visual system 92002
A new patient problem-focused exam of the visual system is a basic evaluation of your eyes and vision. It includes checking your eye movements, visual acuity, and general eye health. It helps detect any potential issues early for timely treatment.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01453 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

DR. JOEL E ABRAHAM O.D.
Optometrist
59 N MAIN ST
LEOMINSTER, MA 01453
Worcester County (978) 537-6324
DR. MARK S. FONTAINE
Optometrist
59 N MAIN ST
LEOMINSTER, MA 01453
Worcester County (978) 537-6324

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 Fontaine's NPI number?

The NPI number for Mark Fontaine is 1710026943. It was assigned to this individual provider in the NPPES registry on February 5, 2007. The provider is also known as Dr. Mark S Fontaine Optometrist.

Where is Mark Fontaine located?

Mark Fontaine practices at 59 N Main St, Leominster, MA 01453. The listed phone number is (978) 537-6324.

What is Mark Fontaine's specialty?

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

Is Mark Fontaine enrolled in Medicare?

Yes. Mark Fontaine 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 Fontaine accept?

Health plans from Anthem Blue Cross and Blue Shield and Providence Health Plan list Mark Fontaine 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 Fontaine was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.