Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK D PECKHAM, OD
ActiveDR. MARK D PECKHAM, OD is a Optometrist healthcare provider located in FESTUS, Missouri. NPI 1376539064 is currently active in the NPPES registry. Verify at CMS.
Optometrist · FESTUS, MO
Registration Details
- NPI Number
- 1376539064
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 27, 2005 (20.907162444735 yrs)
- Last Updated
- Jul 8, 2007
- License
-
TO2158 (MO)
Practice Information
- Address
-
600 WESTWOOD DR SMARK D PECKHAM ODFESTUS, MO, 630282061Browse MO providers · Browse ZIP 63028
- Phone
- 6369374747
- Fax
- 6369374747
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in FESTUS, MO
| Name | Credential | NPI |
|---|---|---|
| DR. BRADFORD B. KESLER | O.D. | 1548269954 |
| DR. PETER H ZIMMERMAN | OD | 1841285061 |
| DR. JAROD LANCE MCCULLOUGH | O.D. | 1841323300 |
| MS. LAURA ANN BEQUETTE | O.D., OTR/L | 1972730091 |
| MRS. DEANNE MICHELLE WOLK | O.D. | 1922236678 |
| ROBERT WILLIAM DUNCAN | OD | 1700402500 |
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.