Mark R. Lanka, O.D.

Optometrist · Broken Bow, OK

Individual Active NPI

NPI number 1679817506

Practice location

511 S Park Dr Ste a
Broken Bow, OK 74728-5329
Phone
(580) 584-3434
Fax
(580) 584-3454

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NPI record

NPI
1679817506
Entity type
Individual (Type 1)
Enumeration date
November 15, 2012
Last updated
February 25, 2022
Certified
February 25, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 2714 AR
Optometrist 152W00000X 1385 NE
Optometrist 152W00000X 2857 OK
Optometrist 152W00000X 8623 TX

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970

Other practice locations (2)

  • 1606 S Jefferson Ave, Mount Pleasant, TX 75455-5614 · (903) 572-4000
  • 301 Professional Park Dr Ste A, Arkadelphia, AR 71923-5317 · (870) 779-1022

About Dr. Lanka

Mark R. Lanka, O.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 511 S Park Dr Ste a, Broken Bow, OK 74728-5329. The NPI number 1679817506 was assigned on November 15, 2012 and the record was last updated on February 25, 2022.

Dr. Lanka lists 4 licenses in the registry: #2714 (AR) for Optometrist; #1385 (NE) for Optometrist; #2857 (OK) for Optometrist; #8623 (TX) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark R. Lanka, O.D.?

The NPI number is 1679817506.

What is the phone number of Dr. Lanka?

The phone number listed for the practice location is (580) 584-3434.

Where is Dr. Lanka located?

511 S Park Dr Ste a, Broken Bow, OK 74728-5329.

What is the taxonomy code for Dr. Lanka?

The primary taxonomy code is 152W00000X – Optometrist; 3 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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