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NPI Code Detail

MEDICARE: MARK D TOMSIK

MEDICARE:   MARK D TOMSIK
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
1152W00000XOptometrist520MS

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2410019863OTHERMSMEDICARE RAILROAD

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 : 1679553697
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK D TOMSIK
Provider Business Mailing Address
First Line : 3433 MAIN ST
Second Line :
City : MOSS POINT
State : MS
Zip : 39563-5101
Country : US
Telephone Number : 228-475-8641
Fax Number : 228-475-8691
Provider Business Practice Location Address
First Line : 3433 MAIN ST
Second Line :
City : MOSS POINT
State : MS
Zip : 39563-5101
Country : US
Telephone Number : 228-475-8641
Fax Number : 228-475-8691
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2006
Last Update Date : 05/20/2008

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Directions to “ MARK D TOMSIK ” Practice Location

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