DR. MARK HENNEN (OD) – Optometrist, NPI 1215934559

DR. MARK HENNEN (OD) is a healthcare provider. based in Saint paul, Minnesota. specializing in Optometrist. They hold the professional credentials OD. They hold a License No. 1944 (MN). The NPI Number for DR. MARK HENNEN (OD) is 1215934559

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK HENNEN (OD)
NPI
1215934559
Phone
(651) 457-2020
Address
1540 HUMBOLDT AVE
Enumeration Date
1 July 2005
Last Update Date
29 July 2010

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
6514572020
Graduation Year
1983 (43 years ago)
PAC ID
3375644842
Group Practice PAC ID
0749381218
Professional Enrollment ID
I20100921000836
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

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Provider Addresses for DR. MARK HENNEN (OD)

  • Langer Real Estate, 1540, Humboldt Avenue, West Saint Paul, Dakota County, Minnesota, 55118, United States

    SAINT PAUL, MN 551183417

    Phone: (651) 457-2020

    Type: Location

  • 1613 ATWATER PATH

    INVER GROVE HEIGHTS, MN 550771201

    Phone: (651) 455-6631

    Type: Mailing

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: 2023-10-12 • Largest payer in this snapshot: Alcon Vision LLC ($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

2023-10-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Alcon Vision LLC$16
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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 system2525$0
View full utilization report →

Insurance plans in this area (ZIP 55118)

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Provider's Procedures

DR. MARK HENNEN (OD) performs procedures in Optometrist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYMN92134Diagnostic imaging of retina1311

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: 0749381218View full group profile

Reviews

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Frequently asked questions

What number should I use to identify DR. MARK HENNEN (OD) for billing?
Administrative and clinical systems typically use NPI 1215934559 for DR. MARK HENNEN (OD).
Is DR. MARK HENNEN (OD)'s NPI status active today?
Active status means DR. MARK HENNEN (OD)'s NPI record is not deactivated in the public file.
Which specialty label fits DR. MARK HENNEN (OD)?
NPPES ties DR. MARK HENNEN (OD) to Optometrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. MARK HENNEN (OD)?
DR. MARK HENNEN (OD) is associated with Saint Paul, Minnesota in the same public data insurers reference.
Why is information missing for DR. MARK HENNEN (OD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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