MARK PACKER M.D. NPI 1205834439

NPI Information

NPI: 1205834439
Provider Name: MARK PACKER, M.D.
Classification: Ophthalmology - 207W00000X
Entity Type: Individual
Address:
1400 BLUEBELL AVE
BOULDER, CO
ZIP 80302
Phone: (541) 915-0291
Get Directions

Mark Packer, M.D. is an ophthalmology in Boulder, CO. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. Mark Packer, M.D. NPI is 1205834439. 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:

1400 BLUEBELL AVE
BOULDER, CO
ZIP 80302-834
Phone: (541) 915-0291

The enumeration date for this NPI number is 7/12/2005 and was last updated on 12/20/2018.

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 Code	Taxonomy Clasification	License Number	License State	Primary
1	207W00000X	Ophthalmology	MD22302	OREGON	No
2	207W00000X	Ophthalmology	75599	CALIFORNIA	No
3	207W00000X	Ophthalmology	DR.0054602	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	180043385	OTHER		RAILROAD MEDICARE
2	180040741	OTHER		RAILROAD MEDICARE
3	130311	MEDICAID	OREGON

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

NPI Synchronization or Removal

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