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NPI Code Detail

MEDICARE: DR. MARK WILLIAM ALPERT O.D.

MEDICARE:  DR. MARK WILLIAM ALPERT  O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist04969TPACA
2332H00000XEyewear Supplier

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1801892773
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK WILLIAM ALPERT O.D.
Provider Business Mailing Address
First Line : 16102 BELLFLOWER BLVD
Second Line :
City : BELLFLOWER
State : CA
Zip : 90706-4606
Country : US
Telephone Number : 562-867-4716
Fax Number : 562-925-6877
Provider Business Practice Location Address
First Line : 16102 BELLFLOWER BLVD
Second Line :
City : BELLFLOWER
State : CA
Zip : 90706-4606
Country : US
Telephone Number : 562-867-4716
Fax Number : 562-925-6877
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2005
Last Update Date : 05/14/2009

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Directions to “ DR. MARK WILLIAM ALPERT O.D.” Practice Location

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