Mark T Mentzer Od PC

NPI #1932163946 in Hiawatha, Iowa

Provider Information

NPI Number: 1932163946
Entity Type: Organization
Organization Name: Mark T Mentzer Od PC
Primary Specialty: Optometrist
Enumeration Date: Apr 14, 2006
Last Updated: Apr 8, 2009

Practice Location

Address: 2200 BLAIRSFERRY CROSSING
City: Hiawatha
State: Iowa
ZIP Code: 52233
Phone: (319) 294-9546

Authorized Official

Name: DR. MARK THOMAS MENTZER, OD
Title: PRESIDENT
Phone: (319) 294-9546

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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