Peller, Mark
Peller, Mark is an individual health care provider with primary practice located at 1025 S Power Rd , Mesa AZ 85206-5240. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Peller, Mark can be contacted via phone (480) 325-6277.Contact Information
Primary practice address
1025 S Power Rd
Mesa AZ 85206-5240
Phone: (480) 325-6277
Fax: (480) 325-6278
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 928 | Nevada |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 698 | Arizona |
Profile Details
| NPI number | 1013905462 |
|---|---|
| LBN Legal business name | Peller, Mark |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2005 |
| Last updated | Jan 18th, 2018 - about 6 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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