Mark Edward Ferguson in Godfrey - Optometrist
Mark Edward Ferguson - NPI 1598897456
Mark Edward Ferguson is a Optometrist in Godfrey, Illinois. Mark Edward Ferguson practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Mark Edward Ferguson is 1598897456. The last update date is 2010-09-02.
Mark Edward Ferguson's current location address is 3300 Godfrey Rd, Godfrey, Illinois. You can contact this provider via phone number 6184668787 and fax number 6184664703. The mailing address for Mark Edward Ferguson is 3300 Godfrey Rd, Godfrey, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Edward Ferguson |
|---|---|
| Address | 3300 Godfrey Rd, Godfrey, Illinois |
| Phone Number | 6184668787 |
| Fax Number | 6184664703 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1598897456 |
|---|---|
| Provider Enumeration Date | 2007-03-09 |
| Last Updated Date | 2010-09-02 |
Provider Mailing Address Detail
| Address | 3300 Godfrey Rd |
|---|---|
| City | Godfrey |
| State | Illinois (IL) |
| Post Code | 620352558 |
| Phone Number | 6184668787 |
| Fax Number | 6184664703 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 46008331 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 46008331 | IL | -- |
Post Comment/ Review Below
What is the Mark Edward Ferguson's unique identification number?
The Mark Edward Ferguson has been assigned the NPI (National Provider Identifier) Number 1598897456 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Mark Edward Ferguson located?
The Mark Edward Ferguson is located at 3300 Godfrey Rd, Godfrey, IL 620352558.
What is Mark Edward Ferguson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mark Edward Ferguson's specialized field of practice is Optometrist, and the corresponding taxonomy code that categorizes this area of specialization is 152W00000X.
On what date did the Mark Edward Ferguson receive its 1598897456 assignment from the Centers for Medicare & Medicaid Services?
The Mark Edward Ferguson was assigned its 1598897456 by the Centers for Medicare & Medicaid Services on 2007-03-09.
When was the information pertaining to Mark Edward Ferguson most recently updated or revised?
The details related to Mark Edward Ferguson, including its address, specialty, and other relevant information, were last updated or revised on 2010-09-02.
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