DR. Mark C. Hurst, OPTOMETRIST, LTD.

NPI #1912979311 in Mt Vernon, Illinois

Provider Information

NPI Number: 1912979311
Entity Type: Individual
Name: DR. Mark C. Hurst, OPTOMETRIST, LTD.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OPTOMETRIST, LTD.
Enumeration Date: Feb 2, 2006
Last Updated: Jun 16, 2008

Practice Location

Address: 4 WESTWOOD DRIVE
City: Mt Vernon
State: Illinois
ZIP Code: 62864
Phone: (618) 242-7810

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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