Obenchain, Mark Allen

Obenchain, Mark Allen is an individual health care provider with primary practice located at 5101 N. Davis Hwy Suite A, Pensacola FL 32503-2040. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Obenchain, Mark Allen can be contacted via phone (850) 479-7379.

Contact Information

Primary practice address
5101 N. Davis Hwy Suite A Pensacola FL 32503-2040
Fax: (850) 497-6219
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Low Vision Rehabilitation 152WL0500X OPC5023 Florida
Eye and Vision Services Providers / Optometrist 152W00000X OPC5023 Florida

Profile Details

NPI number 1376983874
LBN Legal business name Obenchain, Mark Allen
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2013
Last updated Aug 7th, 2017 - about 7 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 1376983874 NPPES
Florida Other 190NO FLORIDA BLUE
Florida MEDICAID 014082700 FLORIDA BLUE

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