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Dr. Mark A Provenzano, OD
Optometrist in Lake Jackson, Texas
NPI 1942486428

Mark A Provenzano is a Optometrist based in Lake Jackson, TX. Mark A Provenzano practices in Lake Jackson, TX and has the professional credentials of OD. The NPI Number for Mark A Provenzano is 1942486428 and holds a License No. 3979TG (Texas).

The current practice location address for Mark A Provenzano is 123 Circle Way, Lake Jackson, TX and can be reached out via phone at 979-299-3250.

Location: 123 Circle Way, Lake Jackson, TX, 77566-5233
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942486428
Provider Name
Mark A Provenzano
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
123 Circle Way, Lake Jackson, TX, 77566-5233
Phone Number
979-299-3250
Fax Number
Provider Enumeration Date
01/15/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
80775Q 01 BC/BS TX
1073607370 01 RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
123 Circle Way
City
Lake Jackson
State
Texas
Zip
77566-5233
Phone Number
979-299-3250
Fax Number
person
Provider Business Mailing Address Details
Address
123 Circle Way
City
Lake Jackson
State
Texas
Zip
77566-5233
Phone Number
979-299-3250
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Optometrist
Speciality
-
Taxonomy
152W00000X
License No.
3979TG (Texas)
Definition
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. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
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