Mark Packer, M.D.

Ophthalmology Physician · Boulder, CO

Individual Active NPI

NPI number 1205834439

Practice location

1400 Bluebell Ave
Boulder, CO 80302-7834
Phone
(541) 915-0291

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NPI record

NPI
1205834439
Entity type
Individual (Type 1)
Enumeration date
July 12, 2005
Last updated
December 20, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Ophthalmology Physician Primary 207W00000X DR.0054602 CO
Ophthalmology Physician 207W00000X MD22302 OR
Ophthalmology Physician 207W00000X 75599 CA

About Dr. Packer

Mark Packer, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Ophthalmology Physician (code 207W00000X). The practice location is 1400 Bluebell Ave, Boulder, CO 80302-7834. The NPI number 1205834439 was assigned on July 12, 2005 and the record was last updated on December 20, 2018.

Dr. Packer lists 3 licenses in the registry: #DR.0054602 (CO) for Ophthalmology Physician; #MD22302 (OR) for Ophthalmology Physician; #75599 (CA) for Ophthalmology Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark Packer, M.D.?

The NPI number is 1205834439.

What is the phone number of Dr. Packer?

The phone number listed for the practice location is (541) 915-0291.

Where is Dr. Packer located?

1400 Bluebell Ave, Boulder, CO 80302-7834.

What is the taxonomy code for Dr. Packer?

The primary taxonomy code is 207W00000X – Ophthalmology Physician; 2 more listed above.

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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