National Provider Identifier Database

MARK A BEACH, OD – NPI #1487766630
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 BEACH, OD
1501 WAGNER AVE
GREENVILLE, OH45331-2763
Phone: 937-547-9012
Fax: 937-547-9361
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for MARK A BEACH

NPI Number 1487766630
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 08/31/2006
Last updated 08/08/2008 - About 18 years ago
Sole proprietor1 Yes
Identifiers
  • OH License #: 4081/T348
  • OH Medicaid: 2298393
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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