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 |
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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 |
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Provider Enumeration Date | 2006-07-21 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 905 S John Redditt Dr |
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City | Lufkin |
State | Texas (TX) |
Post Code | 759044326 |
Phone Number | 9366344913 |
Fax Number | 9366377811 |
Provider's Primary Taxonomy Detail
Speciality | Optometrist |
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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 | -- |
Post Comment/ Review Below
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.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY