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DR. MARK JOSEPH MEDLEY O.D. NPI 1124306279


NPI Information

NPI: 1124306279
Provider Name: DR. MARK JOSEPH MEDLEY, O.D.
Classification: Optometrist - 152W00000X
Entity Type: Individual
Address:
USA MEDDAC FORT DRUM
11050 MT. BELVEDERE BLVD.
FORT DRUM, NY
ZIP 13602
Phone: (315) 772-2778
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DR. Mark Joseph Medley, O.D. is an optometrist in Fort Drum, NY. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. DR. Mark Joseph Medley, O.D. NPI is 1124306279. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

USA MEDDAC FORT DRUM
11050 MT. BELVEDERE BLVD.
FORT DRUM, NY
ZIP 13602
Phone: (315) 772-2778

The enumeration date for this NPI number is 7/22/2011 and was last updated on 7/25/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometrist2987TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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