Mr Mark Humphries Jr, OD in Land O Lakes, FL - Medicare Optometrist Provider

Mr Mark Humphries Jr, OD is a medicare enrolled "Optometrist" provider in Land O Lakes, Florida. His current practice location is 21611 Village Lakes Shopping Center, Land O Lakes, Florida. You can reach out to his office (for appointments etc.) via phone at (813) 949-1982.

Mr Mark Humphries Jr is licensed to practice in Florida (license number OPC001159) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1467550731.

Contact Information

	Mr Mark Humphries Jr, OD
	21611 Village Lakes Shopping Center, Land O Lakes, FL 34639-5102
	(813) 949-1982
	(813) 949-0422

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Mark Humphries Jr
Gender	Male
Speciality	Optometrist
Location	21611 Village Lakes Shopping Center, Land O Lakes, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467550731
Provider Enumeration Date: 09/20/2006
Last Update Date: 08/22/2008

Medicare PECOS Information:

PECOS PAC ID: 8022148055
Enrollment ID: I20100617000365

Medical Identifiers

Medical identifiers for Mr Mark Humphries Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467550731	NPI	-	NPPES
38918	Other	FL	DAVIS
084928600	Medicaid	FL
19161A	Other	FL	BCBS FL
101718	Other	FL	AUMED

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	OPC001159 (Florida)	Primary
152W00000X	Optometrist	776 (Louisiana)	Secondary
152W00000X	Optometrist	674 (Mississippi)	Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Mark Humphries Jr is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Mark Humphries Jr, OD 21611 Village Lakes Shopping Center, Land O Lakes, FL 34639-5102 Ph: (813) 949-1982	Mr Mark Humphries Jr, OD 21611 Village Lakes Shopping Center, Land O Lakes, FL 34639-5102 Ph: (813) 949-1982

Reviews and Comments

Optometrist in Land O Lakes, FL

Dr. Riz Juan Khan, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 21517 Village Lakes Shopping Ctr Dr, Land O Lakes, FL 34639 Phone: 813-949-0421 Fax: 813-949-0351
Dr. Jee Me Kanicky, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 21517 Village Lakes Shopping Ctr Dr, Land O Lakes, FL 34639 Phone: 813-949-0421 Fax: 813-949-0351
Chelsey Lyn Shepos, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2100 Via Bella Blvd Ste 105, Land O Lakes, FL 34639 Phone: 813-284-2300 Fax: 813-979-1600
Mobile Eye Care Services Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5488 Land O Lakes Blvd, Land O Lakes, FL 34639 Phone: 813-312-1174
Eye Works Of Land O' Lakes Optometrist Medicare: Not Enrolled in Medicare Practice Location: 21517 Village Lakes Shopping Ctr Dr, Land O Lakes, FL 34639 Phone: 813-949-1982 Fax: 813-948-0351
Myeyedr. Optometry Of Florida, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 21517 Village Lakes Shopping Ctr Dr, Land O Lakes, FL 34639 Phone: 813-949-0421 Fax: 813-949-0351

Mr Mark Humphries Jr, OD - Medicare Optometrist in Land O Lakes, FL