Guisti, Mark Lee

Guisti, Mark Lee is an individual health care provider with primary practice located at 2363 N 5Th St Ste 106, Elko NV 89801-4593. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Guisti, Mark Lee can be contacted via phone (775) 738-3508.

Contact Information

Primary practice address
2363 N 5Th St Ste 106 Elko NV 89801-4593
Fax: (775) 738-4618
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0700004503 Nevada

Profile Details

NPI number 1679518757
LBN Legal business name Guisti, Mark Lee
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Aug 11th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679518757 NPPES
Nevada MEDICAID 002504510
Nevada Other 410026356
Nevada Other 0805550001

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