National Provider Identifier Database

MARK A BIDLACK, OD – NPI #1356312888
Optometrist

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.


Contact Information

MARK A BIDLACK, OD
1183 WESTWOOD DRIVE
VAN WERT, OH45891
Phone: 419-238-9244
Fax: 419-238-4695
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for MARK A BIDLACK

NPI Number 1356312888
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 02/01/2006
Last updated 02/07/2022 - About 4 years ago
Sole proprietor1 No
Identifiers
  • OH License #: 3921/T1214
  • OH Medicaid: 2445296
  • OH Other: 000000314744 BCBS
  • OH Other: 61143605100 BWC
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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