Mark T. McDermott, OD
Optometrist · Minneapolis, MN
Mark T. McDermott, OD is an optometrist with a practice address in Minneapolis, Minnesota, and NPI 1083680599, issued on Feb 24, 2006. Check the license (Minnesota 2594, as entered in NPPES) with the Minnesota board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Mark T. McDermott
- Credential
- OD
- Primary taxonomy
- Optometrist 152W00000X
- License numbers
- 2594 MN
02169 IA
Self-reported in NPPES; status is on the state search - Practice location
- 4243 4TH Ave S, Minneapolis, MN 55409
- Phone
- (612) 821-2003
- Enumerated
- Feb 24, 2006
- Record last updated
- Jun 16, 2025
- Fax
- (612) 821-2818
- Medicaid ID
- 152713400 MN
- Medicare enrollment
- Enrolled (PECOS I20070419000235); accepts Medicare assignment
- Medical or professional school
- Illinois College Of Optometry At Chicago, 1996
- Entity
- Type 1 · individual
8 nearest optometrist records → All 1,142 in Minnesota → Look up another NPI →
Also registered at 4243 4TH Ave S
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Mary Crackel, D.D.S.General Practice Dentistry1083841621
- Sylvia Cuellar, D.D.SDentist1639466485
- Ryan Lindner, DDSDentist1790805109
Verify Mark T. McDermott in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Minnesota board licenses this profession
Search for license 2594Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Southside Community Health Services IncMinneapolis, MN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Mark T. McDermott among 1,142 optometrist records in Minnesota
Mark T. McDermott, OD is one of 1,142 optometrist records with a practice address in Minnesota. 74% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 10% of them.
- NPI issued2006 · 10% of these records are older, 52% newer
- In a Medicare fileYes · 74% of these records are
- In the CMS Doctors and Clinicians fileYes · 68% of these records are
- Graduated1996 · median 2008 among the 778 with a school on file
- Record last updated2025 · 65% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 152W00000X and a Minnesota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Optometrist providers in Minnesota
There are 1,142 optometrist records in Minnesota.
All 1,142 in Minnesota → Every provider in Minneapolis → Optometrist nationwide →
The 8 optometrist records with the nearest ZIP codes
- Jonee Meagher, O.D.Minneapolis, MN 554091447538608
- Michelle Taylor, O.D.Minneapolis, MN 554091528090420
- Linda Chous, ODMinneapolis, MN 554081205814134
- David Daly, O.D.Minneapolis, MN 554081477632065
- Moulay Younes ElidrissiMinneapolis, MN 554081053824045
- Madeline Elmland, ODMinneapolis, MN 554101104491687
- Theodore Hansen, ODMinneapolis, MN 554081013018100
- Kari Maffitt, O.D.Minneapolis, MN 554081023498474
Common questions
What is Mark T. McDermott, OD's NPI number?
Mark T. McDermott, OD's National Provider Identifier (NPI) is 1083680599, issued on Feb 24, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Mark T. McDermott, OD located?
The NPPES record lists a practice address at 4243 4TH Ave S, Minneapolis, MN, 55409. Phone: (612) 821-2003. Providers update this record themselves, so call before visiting.
How can I verify Mark T. McDermott, OD's license?
NPPES lists Minnesota license number 2594, as entered by the provider. Search the Minnesota board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.