NPI 1508869942

Jon E Mark, OD

Practitioner Optometrist Warsaw, IN

Practice location

Address: 2251 Dubois Dr, Warsaw, IN 46580-3212
Phone: (574) 269-2777
Fax: (574) 371-4697

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 18002230A (IN)

Other Optometrist providers in Indiana →

Registry record

NPI: 1508869942
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 May 2005
Record last updated: 8 Jul 2007

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.