Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK R LANKA, O.D.
Active Sole ProprietorDR. MARK R LANKA, O.D. is a Optometrist healthcare provider located in BROKEN BOW, Oklahoma. NPI 1679817506 is currently active in the NPPES registry. Verify at CMS.
Optometrist · BROKEN BOW, OK
Registration Details
- NPI Number
- 1679817506
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 15, 2012 (13.565485999656 yrs)
- Last Updated
- Feb 25, 2022
- Licenses
-
1385 (NE)2857 (OK)8623 (TX)2714 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
511 S PARK DR STE ABROKEN BOW, OK, 747285329Browse OK providers · Browse ZIP 74728
- Phone
- 5805843434
- Fax
- 5805843454
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Optometrist
- Additional Specialty
- Optometrist
- Additional Specialty
- Optometrist
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.