DR. MARK AKIRA TAKESUYE OD NPI 1558890210

NPI Information

  • NPI: 1558890210
  • Provider Name: DR. MARK AKIRA TAKESUYE, OD
  • Classification: Optometrist - 152WV0400X
  • Specialization: Vision Therapy
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3232 W BRYN MAWR AVE
    CHICAGO, IL
    ZIP 60659
  • Phone: (773) 588-4433

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NPI Details

DR. Mark Akira Takesuye, OD is a vision therapy optometrist in Chicago, IL with 10 years of experience. The provider is optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions. DR. Mark Akira Takesuye, OD NPI is 1558890210. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3232 W BRYN MAWR AVE
CHICAGO, IL
ZIP 60659
Phone: (773) 588-4433

The NPI 1558890210 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Photography of the retina (HCPCS:92250)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)

The enumeration date for this NPI number is 6/7/2017 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometrist46.011174ILLINOISNo
2152WC0802XOptometristCorneal and Contact Management46.011174ILLINOISNo
3152WP0200XOptometristPediatrics46.011174ILLINOISNo
4152WV0400XOptometristVision Therapy46.011174ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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