Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK THOMAS MENTZER, OD
Active Sole ProprietorMARK THOMAS MENTZER, OD is a Optometrist healthcare provider located in HIAWATHA, Iowa. NPI 1184813305 is currently active in the NPPES registry. Verify at CMS.
Optometrist · HIAWATHA, IA
Registration Details
- NPI Number
- 1184813305
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 24, 2007 (18.785997079965 yrs)
- Last Updated
- Jun 15, 2009
- License
-
01912 (IA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2200 BLAIRSFERRY CROSSINGHIAWATHA, IA, 522337900Browse IA providers · Browse ZIP 52233
- Phone
- 3192949546
- Fax
- 3193950089
- Primary Specialty
-
Optometrist
152W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.