Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK D. ESAREY, O.D.
Deactivated Sole ProprietorMARK D. ESAREY, O.D. is a Optometrist healthcare provider located in CHARLESTON, Illinois. NPI 1548267099 is deactivated in the NPPES registry. Verify at CMS.
Optometrist · CHARLESTON, IL
This NPI has been deactivated.
The record was deactivated on March 17, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1548267099
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 30, 2005 (0.71232876712329 yrs)
- Last Updated
- Feb 24, 2012
- Deactivated
- Mar 17, 2006
- License
-
046008046 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1700 18TH STCHARLESTON, IL, 619203607Browse IL providers · Browse ZIP 61920
- Phone
- 2173456600
- Fax
- 2173456622
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in CHARLESTON, IL
| Name | Credential | NPI |
|---|---|---|
| DARCY L DUZAN | O.D. | 1508886078 |
| DR. SCOTT A CLARKE | O.D. | 1336209055 |
| DEREK HENNIG | OD | 1215466008 |
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.