DR. KEION MARK O.D,
NPI 1962841072
Optometrist in Plant City, FL

Q: What is Keion Mark's NPI number?

The NPI number for Keion Mark is 1962841072. It was assigned to this individual provider in the NPPES registry on June 21, 2013.

Q: What is Keion Mark's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Keion Mark was last updated on March 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 21, 2013PECOS EnrolledAccepts Medicare Assignment

801 E BAKER ST, PLANT CITY, FL 33563(813) 653-6100 Get Directions Write a Review

NPPES record last updated: March 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 2, 2020, Mar 17, 2018, Dec 7, 2017 (3 updates tracked since 2017).

On this page

About Dr. Keion Mark O.d, NPPES

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

DR. KEION MARK O.D, (NPI 1962841072) is an individual optometrist in Plant City, Florida, licensed in Florida (OPC5282) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in Winter Haven, and is a graduate of Pennsylvania College Of Optometry (2013).

NPPES Registry Identity

NPI1962841072

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. KEION MARKCredential: O.D,

Location Address801 E BAKER STPlant City, FL 33563-3652

Mailing Address2161 E County Road 540a # 254Lakeland, FL 33813-3794 · (484) 477-2579

Phone(813) 653-6100

Sole ProprietorNo

Medical School CMSPennsylvania College Of OptometryGraduated 2013

Enumeration DateJune 21, 2013

Last NPPES UpdateMarch 22, 20243 updates tracked since enumeration

NPPES CertifiedMarch 22, 2024

✔ NPI 1962841072 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 FL · OPC5282✔ Licensed in NJ · 270A00645900✔ Licensed in PA · OEG002772

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.

801 E BAKER ST, Plant City, FL 33563

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Secondary Practice Location 1

Location 17450 Cypress Gardens BlvdWinter Haven, FL 33884-6200 · Phone (856) 778-0937

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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. Keion Mark 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 ID8022243344

PECOS Enrollment IDI20170605001055

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

47 services47 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.

13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33563 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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 9

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

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