DR. Mark Joel Bashover, O.D.

NPI #1093878670 in Valley Stream, New York

Provider Information

NPI Number: 1093878670
Entity Type: Individual
Name: DR. Mark Joel Bashover, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Dec 18, 2006
Last Updated: Aug 22, 2014

Practice Location

Address: 845 NEWBURG AVE
City: Valley Stream
State: New York
ZIP Code: 11581-3107
Phone: (516) 791-8254

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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