Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Keion Mark, OD

Individual provider Optometrist · NPI 1962841072

Dr. Keion Mark, OD is an Optometry in Plant City, Florida. Graduated from Pennsylvania College of Optometry in 2013, 13 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Florida, New Jersey and Pennsylvania.

Years since qualifying
13
Trained at
Pennsylvania College of Optometry
Licensed in
FL, NJ, PA
In the registry since
2013
Specialties on file
3
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

801 E Baker St
Plant City, FL 33563-3652
Phone: (813) 653-6100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7450 Cypress Gardens Blvd, Winter Haven, FL 33884-6200 — (856) 778-0937

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPC5282 (FL)
Optometrist Taxonomy 152W00000X · Licence 270A00645900 (NJ)
Optometrist Taxonomy 152W00000X · Licence OEG002772 (PA)

Record details

NPI number1962841072
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 21, 2013
Last updated in NPPESMarch 22, 2024
Certification dateMarch 22, 2024
Mailing address2161 E County Road 540a # 254, Lakeland, FL 33813-3794

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolPENNSYLVANIA COLLEGE OF OPTOMETRY
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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