Mark a Gillispie O D INC

NPI #1467621185 in Coachella, California

Provider Information

NPI Number: 1467621185
Entity Type: Organization
Organization Name: Mark a Gillispie O D INC
Primary Specialty: Optometrist
Enumeration Date: Feb 27, 2008
Last Updated: Jun 12, 2009

Practice Location

Address: 52565 HARRISON ST.
Address 2: SUITE 105
City: Coachella
State: California
ZIP Code: 92236
Phone: (760) 398-1500

Authorized Official

Name: DR. MARK A GILLISPIE, O.D.
Title: OWNER / DOCTOR
Phone: (760) 347-6636

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X
Optometrist	152W00000X	Primary

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