Individual provider · Type 1 NPI
Mark A. Provenzano, OD
Optometrist · Lake Jackson, TX
Practice location
123 Circle Way
Lake Jackson, TX 77566-5233
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist Primary | 152W00000X | 3979TG (TX) |
Optometrist: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional e…
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About NPI 1942486428
Mark A. Provenzano, OD's National Provider Identifier is 1942486428, issued on Jan 15, 2008. The primary taxonomy on file is Optometrist (152W00000X), and the practice location is in Lake Jackson, TX. The record was last updated on Apr 21, 2009.