Edward Omer Obermark in Washington - Optometrist

Edward Omer Obermark - NPI 1720019375

Edward Omer Obermark is a Optometrist in Washington, Missouri. Edward Omer Obermark practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Edward Omer Obermark is 1720019375. The last update date is 2007-07-08.

Edward Omer Obermark's current location address is 222 W Main St, Washington, Missouri. You can contact this provider via phone number 6362397144 and fax number 6362396266. The mailing address for Edward Omer Obermark is 222 W Main St, Washington, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Edward Omer Obermark
Address 222 W Main St, Washington, Missouri
Phone Number 6362397144
Fax Number 6362396266
Sole Proprietor Y
Credentials O.D.

NPI Number Detail

NPI Number 1720019375
Provider Enumeration Date 2006-07-05
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 222 W Main St
City Washington
State Missouri (MO)
Post Code 630902123
Phone Number 6362397144
Fax Number 6362396266

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No T03188
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
317927903 MO --

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FAQs about Edward Omer Obermark

What is the Edward Omer Obermark's 1720019375?

The Edward Omer Obermark's NPI (National Provider Identifier) Number is 1720019375. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Edward Omer Obermark's facilities are geographically located?

The facilities of Edward Omer Obermark are physically situated at the following location: 222 W Main St, Washington, MO, 630902123.

What is Edward Omer Obermark's specialized field of practice, and what is the corresponding taxonomy classification code?

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

On what date did the Edward Omer Obermark receive its 1720019375 assignment from the Centers for Medicare & Medicaid Services?

The Edward Omer Obermark was assigned its 1720019375 by the Centers for Medicare & Medicaid Services on 2006-07-05.

When was the information regarding Edward Omer Obermark, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Edward Omer Obermark, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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