DR. MARK OSSI (NPI# 1245883297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245883297 |
| Entity Type | Individual |
| Full Name | DR. MARK OSSI |
| Credential | OD |
| Practice Address |
225 N 1st St Leesburg FL 34748-5150 |
| Mailing Address |
110 S Woodland St Winter Garden FL 34787-3546 |
| Practice Telephone | 4079058827 |
| Practice Fax Number | 3523602389 |
| Mailing Telephone | 4079058827 |
| Mailing Fax Number | 4079058998 |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2020-09-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPC5696 | FL | Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 Marketside Ave Ste 305, Ponte Vedra, FL 320810582 | 9048254525 | 9048254520 |
| Street Address |
225 N 1ST ST |
| City | LEESBURG |
| State | FL |
| Zip Code | 34748-5150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043217003 | William Jeffrey Franks | Pediatrics | 225 N 1st St, Leesburg, FL 34748-5150 | 2005-07-06 |
| 1588062780 | Patricia Rose Cecil | Nurse Practitioner | 225 N 1st St, Leesburg, FL 34748-5150 | 2014-12-21 |
| 1700288487 | Deborah Ho | Social Worker | 225 N 1st St, Leesburg, FL 34748-5150 | 2014-09-24 |
| 1184962656 | Nicole Helene Fretwell | Pharmacist | 225 N 1st St, Leesburg, FL 34748-5150 | 2013-01-17 |
| 1942550033 | Stephanie Albertha Mcshan | Social Worker | 225 N 1st St, Leesburg, FL 34748-5150 | 2012-09-15 |
| 1407126444 | Community Health Centers Inc | Pharmacy | 225 N 1st St, Leesburg, FL 34748-5150 | 2012-01-09 |
| 1043530462 | Bozena Zaleska Munguba | Dentist | 225 N 1st St, Leesburg, FL 34748-5150 | 2010-06-08 |
| 1760633739 | Patricia Consuelo Gonzalez | Dentist | 225 N 1st St, Leesburg, FL 34748-5150 | 2008-10-08 |
| 1073697355 | Community Health Centers, Inc | Clinic/Center | 225 N 1st St, Leesburg, FL 34748-5150 | 2006-10-24 |
| 1881783124 | Community Health Centers, Inc | Clinic/Center | 225 N 1st St, Leesburg, FL 34748-5150 | 2006-10-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437610243 | Ashley Shamsa Martin | Behavior Technician | 292 Bent Oak Ct, Leesburg, FL 34748 | 2019-03-26 |
| 1891278875 | Luis O Aponte Mendoza | Physician Assistant | 704 Doctors Ct., Suite 101, Leesburg, FL 34748 | 2018-09-14 |
| 1881197903 | Physician Associates LLC | Internal Medicine | 22316 Us Highway 27, Leesburg, FL 34748 | 2018-03-15 |
| 1184136145 | Infinite Support Services LLC | In Home Supportive Care | 129 Grove Ridge Circle, 104, Leesburg, FL 34748 | 2017-10-31 |
| 1619403037 | Massage and Wellness Care | Health Maintenance Organization | 1218 W. Dixie Ave, Suite A, Leesburg, FL 34748 | 2017-05-04 |
| 1497202675 | Prime Radiology of Leesburg Inc | Radiology | 600 N W Blvd, Suite E, Leesburg, FL 34748 | 2016-09-06 |
| 1023480332 | Juanita Elizabeth Simpson | Contractor | 1911 Harcourt Drive, Leesburg, FL 34748 | 2015-10-26 |
| 1467835900 | Serenity Choice Place, LLC | Community/Behavioral Health | 721 Balmoral Circle, Leesburg, FL 34748 | 2015-07-01 |
| 1356738397 | Touching Heart's Group Homes, LLC | Community/Behavioral Health | 31809 Sunpark Cir, Leesburg, FL 34748 | 2015-04-16 |
| 1386035269 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 1103 N 14th Street, Leesburg, FL 34748 | 2015-02-12 |
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| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467830679 | Kurtz Enterprise Holdings LLC | Optometrist | 130 Hawkstead Dr, Leesburg, GA 31763-5347 | 2015-05-08 |
| 1205270170 | Mehrnoosh Karizi Badiee | Optometrist | 42746 Falls View Sq, Leesburg, VA 20176-6850 | 2013-04-23 |
| 1255649273 | Lee County Optical LLC | Optometrist | 1569 Highway 19 South, Leesburg, GA 31763 | 2010-09-24 |
| 1053623306 | Yu-ting Julie Chung | Optometrist | 19360 Compass Creek Pkwy, Leesburg, VA 20175-5445 | 2010-07-01 |
| 1184891673 | Donald F. Gabriel | Optometrist | 231 Wirt St Nw, Leesburg, VA 20176-2206 | 2008-05-13 |
| 1568635878 | Priscilla Loraine Ramos | Optometrist | 10041 Us Highway 441, Suite E, Leesburg, FL 34788-3992 | 2008-04-08 |
| 1245401108 | Khanh Chang | Optometrist | 617 Potomac Station Dr Ne Ste A, Leesburg, VA 20176-1817 | 2008-03-19 |
| 1275716433 | Marty R Leggett Od Pa | Optometrist | 309 W Main St., Leesburg, FL 34748 | 2007-12-11 |
| 1104018746 | Frank Cassella | Optometrist | 617 Potomac Station Dr., Ste. A, Leesburg, VA 20176 | 2007-08-17 |
| 1881899441 | Lucy S. Lee O.d., P.l.l.c. | Optometrist | 18513 Bear Creek Ter, Leesburg, VA 20176-7424 | 2007-06-15 |
| Find all providers in LEESBURG | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.