NPI 1013905462

Mark Peller, OD

Practitioner Optometrist Mesa, AZ

Practice location

Address: 1025 S Power Rd, Mesa, AZ 85206-5240
Phone: (480) 325-6277
Fax: (480) 325-6278
Mailing address: 220 N McKemy Ave, Chandler, AZ 85226-2654

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 698 (AZ)

Other Optometrist providers in Arizona →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 928 (NV)

Registry record

NPI: 1013905462
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Oct 2005
Record last updated: 18 Jan 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.