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

MR. MARK HUMPHRIES JR., OD

Active Sole Proprietor

MR. MARK HUMPHRIES JR., OD is a Optometrist healthcare provider located in LAND O LAKES, Florida. NPI 1467550731 is currently active in the NPPES registry. Verify at CMS.

Optometrist · LAND O LAKES, FL

Registration Details

NPI Number
1467550731
Provider Type
Individual
Gender
Male
NPI Issued
Sep 20, 2006 (19.873590482604 yrs)
Last Updated
Aug 22, 2008
Licenses
OPC001159 (FL)
776 (LA)
674 (MS)
Sole Proprietor
Yes

Practice Information

Address
21611 VILLAGE LAKES SHOPPING CENTER
LAND O LAKES, FL, 346395102
Browse FL providers · Browse ZIP 34639
Phone
8139491982
Fax
8139490422
Primary Specialty
Optometrist
152W00000X
Additional Specialty
Optometrist
Additional Specialty
Optometrist

Other Optometrist Providers in LAND O LAKES, FL

Name Credential NPI
DR. JEE ME KANICKY O.D. 1245296599
DR. RIZ JUAN KHAN O.D. 1194735837
CHELSEY LYN SHEPOS OD 1467005041
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.