MARK VINCENT MANDESE LDO NPI 1255838462

NPI Information

NPI: 1255838462
Provider Name: MARK VINCENT MANDESE, LDO
Classification: Technician/Technologist - 156FX1800X
Entity Type: Individual

Specialization: Optician

Address:
1717 S ORANGE AVE
ORLANDO, FL
ZIP 32806
Phone: (407) 422-6798
Get Directions

Mark Vincent Mandese, LDO is an optician technician technologist in Orlando, FL. Mark Vincent Mandese, LDO NPI is 1255838462. 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:

1717 S ORANGE AVE
ORLANDO, FL
ZIP 32806-944
Phone: (407) 422-6798
Fax: (407) 992-7053

The enumeration date for this NPI number is 4/12/2018 and was last updated on 4/12/2018.

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	Taxonomy Specialization	License Number	License State	Primary
1	156FX1800X	Technician/Technologist	Optician	3019	FLORIDA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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