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Contact Information

MARK A MOTLEY, OD
1355 WEST MAIN ST
BELLEVUE, OH44811
 Phone: 419-483-7685
 Fax: 419-483-4694
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for MARK A MOTLEY · (Male)

NPI Number 1750494530
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 08/16/2006
Last updated 12/03/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # OPT.003300
  • OH Medicaid 0333704
  • Other 00130216 ANTHEM
  • OH Other 00164996 ANTHEM
  • OH Other 1750494530 OHIO BWC
  • OH Other 791580458 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
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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