Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK VIDAS, O.D.
Active Sole ProprietorDR. MARK VIDAS, O.D. is a Corneal & Contact Management Optometrist healthcare provider located in BOURBONNAIS, Illinois. NPI 1881787901 is currently active in the NPPES registry. Verify at CMS.
Corneal & Contact Management Optometrist · BOURBONNAIS, IL
Registration Details
- NPI Number
- 1881787901
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 2, 2006 (19.89601324492 yrs)
- Last Updated
- Jul 8, 2007
- License
-
046007828 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
135 W RIVER STBOURBONNAIS, IL, 609141964Browse IL providers · Browse ZIP 60914
- Phone
- 8159392222
- Fax
- 8159390970
- Primary Specialty
-
Corneal & Contact Management Optometrist
152WC0802X
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.