DR. MARK S WIGGERS (OD) – Optometrist, NPI 1205886058

DR. MARK S WIGGERS (OD) is a healthcare provider. based in Cumming, Georgia. specializing in Optometrist. They hold the professional credentials OD. They hold a License No. OPT001674 (GA). The NPI Number for DR. MARK S WIGGERS (OD) is 1205886058

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK S WIGGERS (OD)
NPI
1205886058
Phone
(770) 205-2520
Address
1485 Peachtree Pkwy
Enumeration Date
11 May 2006
Last Update Date
19 July 2018

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
7702052520
Graduation Year
1985 (41 years ago)
PAC ID
9537119623
Group Practice PAC ID
5799083846
Professional Enrollment ID
I20060810000421
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

Provider Addresses for DR. MARK S WIGGERS (OD)

  • 1485 Peachtree Pkwy

    D1

    Cumming, GA 300410500

    Phone: (770) 205-2520

    Fax: (770) 456-5994

    Type: Location

  • 1780 PEACHTREE PKWY STE 301

    CUMMING, GA 30041

    Phone: (770) 205-2520

    Fax: (770) 456-5994

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $81.

Total Amount is formed as General ($81) + Research ($0) + Ownership ($0) = $81.

Last reported payment date: 2023-12-09 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($81).

Total Amount

$81

General + Research + Ownership

Payments

2

Total payment records

General Amount

$81

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-09

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: 2006-08-10

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
I20060810000421IOptometryGATBD

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 30041)

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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: 5799083846View full group profile
NameSpecialtyState
O P T O M E T R YGA
O P T O M E T R YGA

Reviews

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Frequently asked questions

What federal number belongs to DR. MARK S WIGGERS (OD)?
The federal identifier for DR. MARK S WIGGERS (OD) is NPI 1205886058.
Is DR. MARK S WIGGERS (OD) currently active in the NPI registry?
CMS-published data lists DR. MARK S WIGGERS (OD) as an active registrant.
Can you summarize DR. MARK S WIGGERS (OD)'s specialty in plain language?
Clinically, the directory lists DR. MARK S WIGGERS (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
Does DR. MARK S WIGGERS (OD) practice in Georgia?
You will see Cumming, Georgia on file for DR. MARK S WIGGERS (OD) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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