DR. MARK ALLEN CENEVIVA (O.D.) – Optometrist, NPI 1396753455
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,618 OPTOMETRY in OH
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Provider Addresses for DR. MARK ALLEN CENEVIVA (O.D.)
977, Newark Granville Road, Granville, Granville Township, Licking County, Ohio, 43023, United States
GRANVILLE, OH 430231454
Phone: (740) 522-2553
Fax: (740) 522-5346
Type: Mailing
Walmart Supercenter, 911, Hebron Road, Heath, Licking County, Ohio, 43056, United States
HEATH, OH 430561182
Phone: (740) 522-2553
Fax: (740) 522-5346
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $89.
Total Amount is formed as General ($89) + Research ($0) + Ownership ($0) = $89.
Last reported payment date: 2024-07-16 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($66).
Total Amount
$89
General + Research + Ownership
Payments
4
Total payment records
General Amount
$89
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Johnson & Johnson Vision Care, Inc. | $66 |
| Novartis Pharmaceuticals Corporation | $23 |
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: 2004-04-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040409000123 | I | Optometry | OH | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 119 | 119 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 66 | 66 | $0 |
Insurance plans in this area (ZIP 43023)
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