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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MARK JARED FAST, O.D.

Active Sole Proprietor

DR. MARK JARED FAST, O.D. is a Optometrist healthcare provider located in SALEM, Oregon. NPI 1831173590 is currently active in the NPPES registry. Verify at CMS.

Optometrist · SALEM, OR

Registration Details

NPI Number
1831173590
Provider Type
Individual
Gender
Male
NPI Issued
Dec 5, 2005 (20.662197369745 yrs)
Last Updated
Oct 13, 2016
License
2986ATI (OR)
Sole Proprietor
Yes

Practice Information

Address
3816 CENTER ST NE
SALEM, OR, 973012905
Browse OR providers · Browse ZIP 97301
Phone
5035885513
Fax
5035885470
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in SALEM, OR

Name Credential NPI
DR. DANA A MCLAUGHLIN O.D. 1346245370
DR. RAY J WEEKLY O.D. 1407840630
DR. WESLEY VORPAHL OD 1568457414
DR. DANIEL DAYTON BISHOP OD 1740279793
DR. PETER WILLIAM GLENNIE OD 1730134966
DR. DONALD R. ASAY O.D. 1306878897
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.