Keion Mark, O.D,

Optometrist · Plant City, FL

Individual Active NPI

NPI number 1962841072

Practice location

801 E Baker St
Plant City, FL 33563-3652
Phone
(813) 653-6100

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NPI record

NPI
1962841072
Entity type
Individual (Type 1)
Enumeration date
June 21, 2013
Last updated
March 22, 2024
Certified
March 22, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X OPC5282 FL
Optometrist 152W00000X 270A00645900 NJ
Optometrist 152W00000X OEG002772 PA

Mailing address

2161 E County Road 540a # 254
Lakeland, FL 33813-3794
Phone
(484) 477-2579

Other practice locations (1)

  • 7450 Cypress Gardens Blvd, Winter Haven, FL 33884-6200 · (856) 778-0937

About Dr. Mark

Keion Mark, O.D, is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 801 E Baker St, Plant City, FL 33563-3652. The NPI number 1962841072 was assigned on June 21, 2013 and the record was last updated on March 22, 2024.

Dr. Mark lists 3 licenses in the registry: #OPC5282 (FL) for Optometrist; #270A00645900 (NJ) for Optometrist; #OEG002772 (PA) 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 Keion Mark, O.D,?

The NPI number is 1962841072.

What is the phone number of Dr. Mark?

The phone number listed for the practice location is (813) 653-6100.

Where is Dr. Mark located?

801 E Baker St, Plant City, FL 33563-3652.

What is the taxonomy code for Dr. Mark?

The primary taxonomy code is 152W00000X – Optometrist; 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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