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MARK D ESAREY NPI 1790867604


NPI Information

NPI: 1790867604
Provider Name: MARK D ESAREY
Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
1700 18TH STREET
CHARLESTON, IL
ZIP 61920
Phone: (217) 345-6600
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MARK D ESAREY is an optometrist in Charleston, IL. 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. MARK D ESAREY NPI is 1790867604. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1700 18TH STREET
CHARLESTON, IL
ZIP 61920
Phone: (217) 345-6600
Fax: (217) 345-6622

The provider's authorized official is Mark D Esarey .
The authorized official title is Owner and has the following contact phone number (217) 345-6600.

The enumeration date for this NPI number is 10/19/2006 and was last updated on 3/5/2012.


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
1152W00000XOptometristYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11790867604OTHERILLINOISTRICARE
21584009OTHERILLINOISBCBS PROV ID#
31790867604OTHERILLINOISOSF HEALTHCARE
4DF5536OTHERILLINOISRAILROAD MEDICARE
50858860001MEDICARE NSCILLINOIS
61548267099MEDICAIDILLINOIS
71790867604OTHERILLINOISPERSONAL CARE
8=========OTHERILLINOISDMERC SUPPLIER #
91790867604OTHERILLINOISHEALTH ALLIANCE
101790867604OTHERILLINOISAFLAC
11214236MEDICARE ID-TYPE UNSPECIFIEDILLINOISMEDICARE PROVIDER #

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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