MARK WILLIAM WALDMIRE – Optometrist, NPI 1154313963

MARK WILLIAM WALDMIRE is a healthcare provider. based in Sacramento, California. specializing in OPTOMETRY. They hold a License No. 10098T (CA). The NPI Number for MARK WILLIAM WALDMIRE is 1154313963

Main info

Male
Sole Proprietor
33 Years Of Experience
Name
MARK WILLIAM WALDMIRE
NPI
1154313963
Phone
(916) 487-1717
Address
4633 WHITNEY AVE
Enumeration Date
17 August 2005
Last Update Date
23 February 2015

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA - SCHOOL OF OPTOMETRY
Secondary Phone
9164871717
Graduation Year
1993 (33 years ago)
PAC ID
9133280902
Group Practice PAC ID
5799945317
Professional Enrollment ID
I20081211000603
Address ID
CA958214100SA4633XAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,909 OPTOMETRY in CA

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Provider Addresses for MARK WILLIAM WALDMIRE

  • 4633, Whitney Avenue, Sacramento County, California, 95821, United States

    SUITE A

    SACRAMENTO, CA 958214100

    Phone: (916) 487-1717

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2023-05-08 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-08

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-12-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081211000603IOptometryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95821)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5799945317View full group profile
NameSpecialtyState
O P T O M E T R YCA

Reviews

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Frequently asked questions

What is the standard ID for MARK WILLIAM WALDMIRE in the U.S.?
In the U.S., MARK WILLIAM WALDMIRE is identified by NPI 1154313963.
Should I treat MARK WILLIAM WALDMIRE as an active provider?
Patients and plans typically see MARK WILLIAM WALDMIRE as active in the national extract.
Which specialty label fits MARK WILLIAM WALDMIRE?
NPPES ties MARK WILLIAM WALDMIRE to Optometrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to MARK WILLIAM WALDMIRE?
The directory associates MARK WILLIAM WALDMIRE with Sacramento, California. Check all listed addresses for suites or satellite offices.
Who maintains MARK WILLIAM WALDMIRE's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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