WILLIAM MARK AVONDA (O.D.) – Optometrist, NPI 1710919170

WILLIAM MARK AVONDA (O.D.) is a healthcare provider. based in Lake city, Florida. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OPC3868 (FL). The NPI Number for WILLIAM MARK AVONDA (O.D.) is 1710919170

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
WILLIAM MARK AVONDA (O.D.)
NPI
1710919170
Phone
(386) 755-2785
Address
1615 SW MAIN BLVD
Enumeration Date
7 July 2006
Last Update Date
21 March 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3867552785
Graduation Year
2002 (24 years ago)
PAC ID
0042269896
Group Practice PAC ID
7517950637
Professional Enrollment ID
I20050119000296
Address ID
FL320251108LA1615XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:19State licenses:2Digital endpointsOther names

2,056 OPTOMETRY in FL

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Provider Addresses for WILLIAM MARK AVONDA (O.D.)

  • 1615, Southwest Main Boulevard, Lake City, Columbia County, Florida, 32025, United States

    LAKE CITY, FL 320251108

    Phone: (386) 755-2785

    Fax: (386) 755-1128

    Type: Location

  • PO box, Russell Road, Paoli, Tredyffrin Township, Chester County, Pennsylvania, 19301, United States

    LAKE CITY, FL 320560489

    Phone: (386) 755-2785

    Fax: (386) 755-1128

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $121.

Total Amount is formed as General ($121) + Research ($0) + Ownership ($0) = $121.

Last reported payment date: 2024-08-19 • Largest payer in this snapshot: Tarsus Pharmaceuticals, Inc. ($65).

Total Amount

$121

General + Research + Ownership

Payments

5

Total payment records

General Amount

$121

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-19

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: 2005-01-19

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
I20050119000296IOptometryFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system441353$0
92133Imaging of optic nerve153143$0
92012Established patient problem focused exam of visual system145102$0
99204New patient office or other outpatient visit, 45-59 minutes124124$0
92083Exam of visual field with extended testing9289$0
View full utilization report →

Insurance plans in this area (ZIP 32025)

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Provider's Procedures

WILLIAM MARK AVONDA (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYFL92012Eye and medical examination for diagnosis and treatment, established patient231154

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: 7517950637View full group profile
NameSpecialtyState
O P T O M E T R YFL
O P H T H A L M O L O G YOH
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YNY
O P H T H A L M O L O G YFL
O P T O M E T R YFL

Reviews

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Frequently asked questions

What federal number belongs to WILLIAM MARK AVONDA (O.D.)?
The federal identifier for WILLIAM MARK AVONDA (O.D.) is NPI 1710919170.
Does this profile mean WILLIAM MARK AVONDA (O.D.) is currently active?
Yes — WILLIAM MARK AVONDA (O.D.) appears active in the national provider directory.
Does WILLIAM MARK AVONDA (O.D.) list a primary specialty?
If you are matching referrals, note Optometrist for WILLIAM MARK AVONDA (O.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for WILLIAM MARK AVONDA (O.D.)?
The page summarizes Lake City, Florida for WILLIAM MARK AVONDA (O.D.); expand the address list for detail.
What if Lake City, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.