DR. Mark Andrew Bashore, O.D.

NPI #1710049085 in Madison, Ohio

Provider Information

NPI Number: 1710049085
Entity Type: Individual
Name: DR. Mark Andrew Bashore, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Dec 14, 2006
Last Updated: May 24, 2010

Practice Location

Address: 6380 N RIDGE RD
City: Madison
State: Ohio
ZIP Code: 44057-2548
Phone: (440) 428-2172

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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