Mark Humphries in Land O Lakes - Optometrist

Mark Humphries - NPI 1467550731

Mark Humphries is a Optometrist in Land O Lakes, Florida. Mark Humphries practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Mark Humphries is 1467550731. The last update date is 2008-08-22.

Mark Humphries's current location address is 21611 Village Lakes Shopping Center, Land O Lakes, Florida. You can contact this provider via phone number 8139491982 and fax number 8139490422. The mailing address for Mark Humphries is 21611 Village Lakes Shopping Center, Land O Lakes, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Humphries
Address 21611 Village Lakes Shopping Center, Land O Lakes, Florida
Phone Number 8139491982
Fax Number 8139490422
Sole Proprietor Y
Credentials OD

NPI Number Detail

NPI Number 1467550731
Provider Enumeration Date 2006-09-20
Last Updated Date 2008-08-22

Provider Mailing Address Detail

Address 21611 Village Lakes Shopping Center
City Land O Lakes
State Florida (FL)
Post Code 346395102
Phone Number 8139491982
Fax Number 8139490422

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No OPC001159
Definition:
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
38918 FL DAVIS
84928600 FL --
19161A FL BCBS FL
101718 FL AUMED

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FAQs about Mark Humphries

What is the unique provider identifier assigned to Mark Humphries?

The Mark Humphries has been issued the NPI (National Provider Identifier) 1467550731 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of Mark Humphries?

The Mark Humphries is situated at 21611 Village Lakes Shopping Center, in the city of Land O Lakes, state of FL, with the zip code 346395102.

What is Mark Humphries's specialized field of practice, and what is the corresponding taxonomy classification code?

The Mark Humphries's area of specialization is Optometrist, and the corresponding taxonomy code that categorizes this field of practice is 152W00000X.

On what date did Mark Humphries receive its 1467550731 assignment from the Centers for Medicare & Medicaid Services?

The Mark Humphries was assigned its 1467550731 on 2006-09-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Mark Humphries's details last updated?

The information pertaining to the Mark Humphries, including its address, specialty, and other details, was most recently updated on 2008-08-22.

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