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MARK SIMARD O.D.
NPI 1922179399
Optometrist in Clawson, MI

Active since November 10, 2006PECOS EnrolledAccepts Medicare Assignment
329 W 14 MILE RD, CLAWSON, MI 48017(248) 435-3400(248) 435-3100 Get Directions Write a Review

NPPES record last updated: September 10, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mark Simard O.d. NPPES

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

MARK SIMARD O.D. (NPI 1922179399) is an individual optometrist in Clawson, Michigan, licensed in Michigan (4901003151) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Ferris State College - College Of Optometry (1987).

NPPES Registry Identity

NPI1922179399
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMARK SIMARDCredential: O.D.
Location Address329 W 14 MILE RDClawson, MI 48017-1926
Mailing Address2390 Millbrook CtRochester Hills, MI 48306-3143 · (248) 435-3400 · Fax (248) 435-3100
Phone(248) 435-3400
Fax(248) 435-3100
Sole ProprietorNo
Medical School CMSFerris State College - College Of OptometryGraduated 1987
Enumeration DateNovember 10, 2006
Last NPPES UpdateSeptember 10, 2012
✔ NPI 1922179399 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 MI · 4901003151
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.
329 W 14 MILE RD, Clawson, MI 48017
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross and Blue Shield of Louisiana 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 and accepts Medicare assignment

Mark Simard 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 ID42312514
PECOS Enrollment IDI20070301000439
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 Simard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

House Of Optical, Inc.
Same address
Optometrist
329 W 14 MILE RD
Clawson, MI 48017
  • Reassigned Medicare billing, Michigan enrollment
  • 4 clinicians in this Medicare group
NPI 1134290505 (248) 435-3400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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 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.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48017 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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 3

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

HOUSE OF OPTICAL, INC.
Optometrist
329 W 14 MILE RD
CLAWSON, MI 48017
Oakland County (248) 435-3400
DREW JORDAN LANGTON OD
Optometrist
329 W 14 MILE RD
CLAWSON, MI 48017
Oakland County (248) 435-3400
ROBERT R. FELDMAN O.D.
Optometrist
329 W 14 MILE RD
CLAWSON, MI 48017
Oakland County (248) 435-3400

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 Simard's NPI number?

The NPI number for Mark Simard is 1922179399. It was assigned to this individual provider in the NPPES registry on November 10, 2006.

Where is Mark Simard located?

Mark Simard practices at 329 W 14 Mile Rd, Clawson, MI 48017. The listed phone number is (248) 435-3400.

What is Mark Simard's specialty?

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

Is Mark Simard enrolled in Medicare?

Yes. Mark Simard 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.

Which organization bills Medicare for Mark Simard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Simard reassigns Medicare benefits to House Of Optical, Inc. (Clawson, MI). 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 Simard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Simard accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 12 other insurers list Mark Simard 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 Simard was last updated on September 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.