Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK AKIRA TAKESUYE, OD
ActiveDR. MARK AKIRA TAKESUYE, OD is a Vision Therapy Optometrist healthcare provider located in CHICAGO, Illinois. NPI 1558890210 is currently active in the NPPES registry. Verify at CMS.
Vision Therapy Optometrist · CHICAGO, IL
Registration Details
- NPI Number
- 1558890210
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 7, 2017 (9.1822276601238 yrs)
- Last Updated
- Jul 21, 2022
- Licenses
-
46.011174 (IL)46.011174 (IL)46.011174 (IL)46.011174 (IL)
Practice Information
- Address
-
3232 W BRYN MAWR AVECHICAGO, IL, 60659Browse IL providers · Browse ZIP 60659
- Phone
- 7735884433
- Primary Specialty
-
Vision Therapy Optometrist
152WV0400X
- Additional Specialty
- Corneal & Contact Management Optometrist
- Additional Specialty
- Pediatric Optometrist
- Additional Specialty
- Vision Therapy Optometrist
Other Vision Therapy Optometrist Providers in CHICAGO, IL
| Name | Credential | NPI |
|---|---|---|
| STEPHANIE R. JOHNSON | O.D. | 1992843007 |
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.