Mark Edward Wiedenfeld in Lufkin - Optometrist

Mark Edward Wiedenfeld - NPI 1801817689

Mark Edward Wiedenfeld is a Optometrist in Lufkin, Texas. Mark Edward Wiedenfeld practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Mark Edward Wiedenfeld is 1801817689. The last update date is 2007-07-08.

Mark Edward Wiedenfeld's current location address is 905 S John Redditt Dr, Lufkin, Texas. You can contact this provider via phone number 9366344913 and fax number 9366377811. The mailing address for Mark Edward Wiedenfeld is 905 S John Redditt Dr, Lufkin, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Edward Wiedenfeld
Address 905 S John Redditt Dr, Lufkin, Texas
Phone Number 9366344913
Fax Number 9366377811
Sole Proprietor Y
Credentials O.D.

NPI Number Detail

NPI Number 1801817689
Provider Enumeration Date 2006-07-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 905 S John Redditt Dr
City Lufkin
State Texas (TX)
Post Code 759044326
Phone Number 9366344913
Fax Number 9366377811

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 5167TG
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
003FB TX BLUE CROSS BLUE SHIELD
0191736-01 TX --

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FAQs about Mark Edward Wiedenfeld

What is the unique 10-digit identification code assigned to Mark Edward Wiedenfeld by the Centers for Medicare & Medicaid Services?

The Mark Edward Wiedenfeld has been issued the NPI (National Provider Identifier) 1801817689, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Mark Edward Wiedenfeld is geographically located?

The Mark Edward Wiedenfeld is physically situated at the following location: 905 S John Redditt Dr, Lufkin, TX, 759044326.

What is Mark Edward Wiedenfeld's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Mark Edward Wiedenfeld is Optometrist, and the taxonomy code that classifies this field of practice is 152W00000X.

On what date did Mark Edward Wiedenfeld receive its 1801817689 assignment from the Centers for Medicare & Medicaid Services?

The Mark Edward Wiedenfeld was assigned its 1801817689 on 2006-07-21, 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 Edward Wiedenfeld's details last updated?

The information pertaining to the Mark Edward Wiedenfeld, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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