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Active NPI 1952494759 Individual Practitioner Male Practitioner

Dr. Mark Deresienski , OD

Optometrist • Wakefield, RI

Professional Overview & Biography Verified Profile Summary

Dr. Mark Deresienski, OD is a registered healthcare professional specializing in Optometrist in Wakefield, RI. Practice services are available at 20 HAMPTON WAY under active NPI credentials.

Frequently performed procedures and clinical services include established patient complete exam of visual system, microfluid analysis of tears, established patient problem focused exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

20 Hampton Way
Bldg#1a

Wakefield, RI 028792553

Telephone 4017837009
Fax 4017893909
Associated Practice Facility / Clinic
🏢 Koch Eye Associates, Llp Facility NPI 1609271642

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Wakefield, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.7 Yrs
State Avg: 23.3 Yrs
Regional Practice Density
5 Specialists

Practicing in Wakefield, RI (280 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
53.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
202 192 $269.00 $126.59
83861 Microfluid analysis of tears
44 20 $45.00 $22.03
92012 Established patient problem focused exam of visual system
37 33 $187.00 $88.76
92133 Imaging of optic nerve
29 29 $102.00 $38.35
92134 Imaging of retina
24 22 $89.00 $42.20
92083 Exam of visual field with extended testing
13 13 $138.00 $65.30
92004 New patient complete exam of visual system
12 12 $322.00 $153.06

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License RI ODTG00475

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
7006708 (RI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1316030125

Doctor of Optometry

NPI 1619060480

Doctor of Medicine (M.D.)

Dr. Sarah Levy , MD

Ophthalmology

NPI 1639346521

Doctor of Medicine (M.D.)

Kristen Burns

Optometrist

NPI 1952742934

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active May 04, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address May 04, 2017

Registered at 175 PARAMOUNT DR, SUITE 203, RAYNHAM, MA 027671065 (Tel: 7743203040)

📍
Updated Practice Location May 04, 2017

Registered at 20 HAMPTON WAY, BLDG#1A, WAKEFIELD, RI 028792553 (Tel: 4017837009)

👤
Provider Name / Credentials Updated May 04, 2017

Recorded as MARK DERESIENSKI, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 04, 2017

Optometrist (License #ODTG00475 in RI)

NPI Profile Active August 12, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location August 12, 2015

Registered at 20 HAMPTON WAY, BLDG#1A, WAKEFIELD, RI 028792553 (Tel: 4017837009)

📍
Updated Business Mailing Address August 12, 2015

Registered at 566 TOLL GATE RD, WARWICK, RI 028862716 (Tel: 4017384800)

👤
Provider Name / Credentials Updated August 12, 2015

Recorded as MARK DERESIENSKI, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2015

Optometrist (License #ODTG00475 in RI)

🟢
Initial NPI Registration & Enumeration October 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1952494759
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 02, 2006
Last Update: May 04, 2017
Sole Proprietor: No

Mailing Address

175 Paramount Dr, Suite 203

Raynham, MA 027671065

Phone: 7743203040

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.