Dr. Daniel R. Obermark Optometry PC

Optometrist · Poplar Bluff, MO

Organization Active NPI

NPI number 1205007614

Practice location

1909 N. Westwood Blvd.
Poplar Bluff, MO 63901-2807
Phone
(573) 785-6717
Fax
(573) 785-3561

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NPI record

NPI
1205007614
Entity type
Organization (Type 2)
Enumeration date
March 13, 2008
Last updated
October 25, 2012
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X TO2935 MO

Mailing address

P.O. Box 709
Sikeston, MO 63801-0709
Phone
(573) 471-1080
Fax
(573) 471-1810

Authorized official

Name
Dr. Daniel Robert Obermark, O.D.
Title
Optometrist
Phone
(573) 471-1080

About Dr. Daniel R. Obermark Optometry PC

Dr. Daniel R. Obermark Optometry PC is a healthcare organization registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 1909 N. Westwood Blvd., Poplar Bluff, MO 63901-2807. The NPI number 1205007614 was assigned on March 13, 2008 and the record was last updated on October 25, 2012.

Dr. Daniel R. Obermark Optometry PC lists a license in the registry: #TO2935 (MO) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Daniel Robert Obermark, O.D., Optometrist.

Frequently asked questions

What is the NPI number of Dr. Daniel R. Obermark Optometry PC?

The NPI number is 1205007614.

What is the phone number of Dr. Daniel R. Obermark Optometry PC?

The phone number listed for the practice location is (573) 785-6717.

Where is Dr. Daniel R. Obermark Optometry PC located?

1909 N. Westwood Blvd., Poplar Bluff, MO 63901-2807.

What is the taxonomy code for Dr. Daniel R. Obermark Optometry PC?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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