DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MARK MATTHEW MCKELL, O.D.

Active Sole Proprietor

MR. MARK MATTHEW MCKELL, O.D. is a Optometrist healthcare provider located in NAMPA, Idaho. NPI 1396853974 is currently active in the NPPES registry. Verify at CMS.

Optometrist · NAMPA, ID

Registration Details

NPI Number
1396853974
Provider Type
Individual
Gender
Male
NPI Issued
Aug 25, 2006 (19.784002041541 yrs)
Last Updated
Jul 8, 2007
Licenses
ODP-100119 (ID)
6271198-9934 (UT)
Sole Proprietor
Yes

Practice Information

Address
2100 CALDWELL BLVD
NAMPA, ID, 836511510
Browse ID providers · Browse ZIP 83651
Phone
2084666895
Primary Specialty
Optometrist
152W00000X
Additional Specialty
Optometrist

Other Optometrist Providers in NAMPA, ID

Name Credential NPI
DR. DANIEL L TILLER O.D. 1154314268
DR. RODNEY L WHITE O.D. 1487647509
DR. JOY GAYLE JOHNSON O.D. 1659324960
JAMES K DEAN O.D. 1033121538
KEVIN G DEAN O.D. 1962516385
BRIAN J. MCGOURTY O.D. 1811091309
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.