Mark T Mcdermott in Roseville - Optometrist

Mark T Mcdermott - NPI 1083680599

Mark T Mcdermott is a Optometrist in Roseville, Minnesota. Mark T Mcdermott practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Mark T Mcdermott is 1083680599. The last update date is 2008-05-09.

Mark T Mcdermott's current location address is 2353 Rice St, Roseville, Minnesota. You can contact this provider via phone number 6514838148 and fax number 6514833206. The mailing address for Mark T Mcdermott is 2353 Rice St, Roseville, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark T Mcdermott
Address 2353 Rice St, Roseville, Minnesota
Phone Number 6514838148
Fax Number 6514833206
Sole Proprietor N
Credentials OD

NPI Number Detail

NPI Number 1083680599
Provider Enumeration Date 2006-02-24
Last Updated Date 2008-05-09

Provider Mailing Address Detail

Address 2353 Rice St
City Roseville
State Minnesota (MN)
Post Code 551133739
Phone Number 6514838148
Fax Number 6514833206

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 2594
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
22 07646 MN MEDICA
26613 MN HEALTH PARTNERS
152713400 MN --
615152747 MN METROPOLITAN HEALTH PLAN
124899 MN U CARE
57D32MC MN BLUE CROSS BLUE SHIELD

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FAQs about Mark T Mcdermott

What is the unique 10-digit identifier code issued to Mark T Mcdermott by the Centers for Medicare & Medicaid Services?

The Mark T Mcdermott has been assigned the NPI (National Provider Identifier) 1083680599 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Mark T Mcdermott's facilities are geographically located?

The facilities of Mark T Mcdermott are physically situated at the following location: 2353 Rice St, Roseville, MN, 551133739.

What is Mark T Mcdermott's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Mark T Mcdermott is Optometrist, and the corresponding taxonomy classification code for this specialized field is 152W00000X.

On what date did the Mark T Mcdermott receive the assignment of its 1083680599 from the Centers for Medicare & Medicaid Services?

The Mark T Mcdermott was issued its 1083680599 by the Centers for Medicare & Medicaid Services on 2006-02-24.

As of what date were the details related to Mark T Mcdermott most recently updated or revised?

The information pertaining to Mark T Mcdermott, including its address, specialty, and other relevant details, was last updated or revised on 2008-05-09.

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