Mark A Kidman is a Optometrist in Rochester, Minnesota. Mark A Kidman practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Mark A Kidman is 1447234554. The last update date is 2009-05-28.
Mark A Kidman's current location address is 3630 11th Ave Nw, Rochester, Minnesota. You can contact this provider via phone number 5072882457 and fax number 5072881299. The mailing address for Mark A Kidman is 3630 11th Ave Nw, Rochester, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark A Kidman |
|---|---|
| Address | 3630 11th Ave Nw, Rochester, Minnesota |
| Phone Number | 5072882457 |
| Fax Number | 5072881299 |
| Sole Proprietor | N |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1447234554 |
|---|---|
| Provider Enumeration Date | 2005-12-01 |
| Last Updated Date | 2009-05-28 |
Provider Mailing Address Detail
| Address | 3630 11th Ave Nw |
|---|---|
| City | Rochester |
| State | Minnesota (MN) |
| Post Code | 559014276 |
| Phone Number | 5072882457 |
| Fax Number | 5072881299 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 2742 |
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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 |
|---|---|---|---|
| 2201279 | MEDIEA CHOICE SELECT | ||
| 03S15KI | MN | BCBS OF MN | |
| 1024471 | PREFERRED ONE | ||
| 743070100 | MN | -- | |
| HP44092 | HEALTHPARTNERS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Mark A Kidman by the Centers for Medicare & Medicaid Services?
The Mark A Kidman has been assigned the NPI (National Provider Identifier) 1447234554 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Mark A Kidman?
The Mark A Kidman is physically situated at 3630 11Th Ave Nw, in the city of Rochester, state of MN, with the postal code 559014276.
What is the Mark A Kidman's specialty and taxonomy code?
The Mark A Kidman's specialty is Optometrist, and the corresponding taxonomy code is 152W00000X.
On what date did Mark A Kidman receive its 1447234554 assignment from the Centers for Medicare & Medicaid Services?
The Mark A Kidman was assigned its 1447234554 on 2005-12-01, 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 A Kidman's details last updated?
The information pertaining to the Mark A Kidman, including its address, specialty, and other details, was most recently updated on 2009-05-28.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC