Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK FLINT THAXTER, BCO
ActiveOcularist · FRESNO, CA
Registration Details
- NPI Number
- 1548130701
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 11, 2025 (0.44535472277559 yrs)
- Last Updated
- Nov 11, 2025
- License
-
24-207 (CA)
Practice Information
- Address
-
6741 N WILLOW AVE STE 101FRESNO, CA, 937105955Browse CA providers · Browse ZIP 93710
- Phone
- 5592521770
- Primary Specialty
-
Ocularist
156FX1700X
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.