Mark John Iacobucci in Portsmouth - Ophthalmology
Mark John Iacobucci - NPI 1295715324
Mark John Iacobucci is a Ophthalmology in Portsmouth, Virginia. Mark John Iacobucci practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Mark John Iacobucci is 1295715324. The last update date is 2021-06-04.
Mark John Iacobucci's current location address is 3235 Academy Ave, Portsmouth, Virginia. You can contact this provider via phone number 7574830400 and fax number 7575489563. The mailing address for Mark John Iacobucci is 3235 Academy Ave, Portsmouth, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark John Iacobucci |
|---|---|
| Address | 3235 Academy Ave, Portsmouth, Virginia |
| Phone Number | 7574830400 |
| Fax Number | 7575489563 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1295715324 |
|---|---|
| Provider Enumeration Date | 2006-01-17 |
| Last Updated Date | 2021-06-04 |
Provider Mailing Address Detail
| Address | 3235 Academy Ave |
|---|---|
| City | Portsmouth |
| State | Virginia (VA) |
| Post Code | 23703 |
| Phone Number | 7574830400 |
| Fax Number | 7575489563 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
| Licence No | 101056490 |
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Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1295715324 | VA | -- | |
| 294885 | ANTHEM |
Post Comment/ Review Below
What is the unique identification code assigned to Mark John Iacobucci by the Centers for Medicare & Medicaid Services?
The Mark John Iacobucci has been issued the NPI (National Provider Identifier) 1295715324. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Mark John Iacobucci's facilities are geographically located?
The facilities of Mark John Iacobucci are physically situated at the following location: 3235 Academy Ave, Portsmouth, VA, 23703.
What is Mark John Iacobucci's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mark John Iacobucci's area of specialization is Ophthalmology, and the corresponding taxonomy code that categorizes this field of practice is 207W00000X.
On what date did the Mark John Iacobucci receive the assignment of its 1295715324 from the Centers for Medicare & Medicaid Services?
The Mark John Iacobucci was issued its 1295715324 by the Centers for Medicare & Medicaid Services on 2006-01-17.
When was the Mark John Iacobucci's information last updated?
The Mark John Iacobucci's information was last updated on 2021-06-04.