Mark Elliott Maybury in Vienna - Optometrist
Mark Elliott Maybury - NPI 1811091812
Mark Elliott Maybury is a Optometrist in Vienna, Virginia. Mark Elliott Maybury practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Mark Elliott Maybury is 1811091812. The last update date is 2020-12-01.
Mark Elliott Maybury's current location address is 1950 Old Gallows Rd Ste 520, Vienna, Virginia. You can contact this provider via phone number 7038478899 and fax number 5712236780. The mailing address for Mark Elliott Maybury is 1950 Old Gallows Rd Ste 520, Vienna, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Elliott Maybury |
|---|---|
| Address | 1950 Old Gallows Rd Ste 520, Vienna, Virginia |
| Phone Number | 7038478899 |
| Fax Number | 5712236780 |
| Sole Proprietor | N |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1811091812 |
|---|---|
| Provider Enumeration Date | 2006-09-11 |
| Last Updated Date | 2020-12-01 |
Provider Mailing Address Detail
| Address | 1950 Old Gallows Rd Ste 520 |
|---|---|
| City | Vienna |
| State | Virginia (VA) |
| Post Code | 221823970 |
| Phone Number | 7038478899 |
| Fax Number | 5712236780 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 45324RTSL |
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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 |
|---|---|---|---|
| 8011009 | CO | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mark Elliott Maybury by the Centers for Medicare & Medicaid Services?
The Mark Elliott Maybury has been assigned the NPI (National Provider Identifier) 1811091812. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Mark Elliott Maybury is physically located?
The Mark Elliott Maybury is physically situated at the following address: 1950 Old Gallows Rd Ste 520, Vienna, VA, 221823970.
What is Mark Elliott Maybury's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mark Elliott Maybury is Optometrist, and the taxonomy classification code that categorizes this area of expertise is 152W00000X.
On what date did Mark Elliott Maybury receive its 1811091812 assignment from the Centers for Medicare & Medicaid Services?
The Mark Elliott Maybury was assigned its 1811091812 on 2006-09-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Mark Elliott Maybury's information last updated?
The Mark Elliott Maybury's information was last updated on 2020-12-01.
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