Mark Thomas Mentzer in Hiawatha - Optometrist
Mark Thomas Mentzer - NPI 1184813305
Mark Thomas Mentzer is a Optometrist in Hiawatha, Iowa. Mark Thomas Mentzer practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Mark Thomas Mentzer is 1184813305. The last update date is 2009-06-15.
Mark Thomas Mentzer's current location address is 2200 Blairsferry Crossing, Hiawatha, Iowa. You can contact this provider via phone number 3192949546 and fax number 3193950089. The mailing address for Mark Thomas Mentzer is 2200 Blairsferry Crossing, Hiawatha, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Thomas Mentzer |
|---|---|
| Address | 2200 Blairsferry Crossing, Hiawatha, Iowa |
| Phone Number | 3192949546 |
| Fax Number | 3193950089 |
| Sole Proprietor | Y |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1184813305 |
|---|---|
| Provider Enumeration Date | 2007-10-24 |
| Last Updated Date | 2009-06-15 |
Provider Mailing Address Detail
| Address | 2200 Blairsferry Crossing |
|---|---|
| City | Hiawatha |
| State | Iowa (IA) |
| Post Code | 522337900 |
| Phone Number | 3192949546 |
| Fax Number | 3193950089 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 1912 |
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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 |
|---|---|---|---|
| 3284331 | IA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mark Thomas Mentzer by the Centers for Medicare & Medicaid Services?
The Mark Thomas Mentzer has been assigned the NPI (National Provider Identifier) 1184813305. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Mark Thomas Mentzer's physical address?
The Mark Thomas Mentzer is physically located at 2200 Blairsferry Crossing, in the city of Hiawatha, IA, with the postal code 522337900.
What is the Mark Thomas Mentzer's area of specialization and corresponding taxonomy classification?
The Mark Thomas Mentzer's specialty field is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their specialties.
On what date did the Mark Thomas Mentzer receive the assignment of its 1184813305 from the Centers for Medicare & Medicaid Services?
The Mark Thomas Mentzer was issued its 1184813305 by the Centers for Medicare & Medicaid Services on 2007-10-24.
As of what date were the Mark Thomas Mentzer's details last updated?
The information pertaining to the Mark Thomas Mentzer, including its address, specialty, and other details, was most recently updated on 2009-06-15.
NPI Number: 1699778829
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