Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK MAZENKO
ActiveMARK MAZENKO is a Optician healthcare provider located in MADISON, Tennessee. NPI 1659075802 is currently active in the NPPES registry. Verify at CMS.
Optician · MADISON, TN
Registration Details
- NPI Number
- 1659075802
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 29, 2023 (3.3935089447406 yrs)
- Last Updated
- Mar 29, 2023
Practice Information
- Address
-
600 ROTHWOOD AVE APT B9MADISON, TN, 371154936Browse TN providers · Browse ZIP 37115
- Phone
- 2565278721
- Primary Specialty
-
Optician
156F00000X
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.