Mark D Esarey

NPI #1790867604 in Charleston, Illinois

Provider Information

NPI Number: 1790867604
Entity Type: Organization
Organization Name: Mark D Esarey
Primary Specialty: Optometrist
Enumeration Date: Oct 19, 2006
Last Updated: Mar 5, 2012

Practice Location

Address: 1700 18TH STREET
City: Charleston
State: Illinois
ZIP Code: 61920
Phone: (217) 345-6600

Authorized Official

Name: DR. MARK D ESAREY, OD
Title: OWNER
Phone: (217) 345-6600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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