Mark Deresienski, OD
Optometrist in Wakefield, Rhode Island
1952494759- Practice location
- 20 Hampton Way, Bldg#1a, Wakefield, RI 02879-2553
- Phone
- 401-783-7009
- Fax
- 401-789-3909
- Last updated
- May 4, 2017
Mark Deresienski is an Optometrist based in Wakefield, RI. Mark Deresienski practices in Wakefield, RI and has the professional credentials of OD. The NPI Number for Mark Deresienski is 1952494759 and holds a License No. ODTG00475 (RI). The current practice location address for Mark Deresienski is 20 Hampton Way, Bldg#1a, Wakefield, RI 02879-2553 and can be reached out via phone at 401-783-7009 and via fax at 401-789-3909.
Provider Profile Details
- NPI Number
- 1952494759
- Provider Name
- Mark Deresienski
- Credential
- OD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 20 Hampton Way, Bldg#1a, Wakefield, RI 02879-2553
- Phone Number
- 401-783-7009
- Fax Number
- 401-789-3909
- Primary Taxonomy
- Optometrist · 152W00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 2, 2006
- Last Update Date
- May 4, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 20 Hampton Way
Bldg#1a
Wakefield, RI 02879-2553 - City
- Wakefield
- State
- Rhode Island
- Zip
- 02879-2553
- Phone Number
- 401-783-7009
- Fax Number
- 401-789-3909
Provider Business Mailing Address Details
- Address
- 175 Paramount Dr
Suite 203
Raynham, MA 02767-1065 - City
- Raynham
- State
- MA
- Zip
- 02767-1065
- Phone Number
- 774-320-3040
- Fax Number
- 508-910-2204
License Information
- License Number
- ODTG00475
- License State
- RI
- Taxonomy
- Optometrist · 152W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Optometrists near Wakefield, RI
View all Optometrists in Wakefield →- Dr Steven Michael Kreiger & Associates, INC.Optometrist · NPI 1316247273
- Dr. Kristen L BurnsOptometrist · NPI 1952742934
- Dr. Michael R Iannuccilli, ODOptometrist · NPI 1972554053
- Nicole Fantoni, ODOptometrist · NPI 1316030125
- Optometric Care INCOptometrist · NPI 1023067337
- Pangborn Premier Eye Care, INC.Optometrist · NPI 1447130505
Frequently Asked Questions
What is the NPI number of Mark Deresienski, OD?
The NPI number of Mark Deresienski, OD is 1952494759. It was assigned on October 2, 2006 and is currently active in the NPPES registry.
What is the specialty of Mark Deresienski, OD?
Mark Deresienski, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in RI under license number ODTG00475.
Where does Mark Deresienski, OD practice?
The practice location is 20 Hampton Way, Bldg#1a, Wakefield, RI 02879-2553. The office can be reached at 401-783-7009 (phone) or 401-789-3909 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1952494759 directly on the NPPES registry website.