MARK MCKENZIE (NPI# 1164783718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164783718 |
| Entity Type | Individual |
| Full Name | MARK MCKENZIE |
| Credential | OD |
| Practice Address |
2375 Ne Highway 99w Mcminnville OR 97128-9201 |
| Mailing Address |
1885 Nw Alder St Mcminnville OR 97128-3039 |
| Practice Telephone | 5034341183 |
| Mailing Telephone | 5035606526 |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2014-06-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 3488ATI | OR | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750596854 | Mark A Mckenzie | Pharmacist | 190 Plaza Dr, Ste Genevieve, MO 63670-1828 | 2007-05-11 |
| 1821064122 | Mark M Mckenzie | Internal Medicine | 6031 Shallowford Rd, Suite 105, Chattanooga, TN 37421-1983 | 2006-02-27 |
| 1275017972 | Mark Daniel Mckenzie | Occupational Therapist | 190 Southpark Blvd, Saint Augustine, FL 32086-4120 | 2018-09-18 |
| 1992224927 | Mark Anthony Mckenzie Sr. | Counselor | 598 Broadway Fl 2, New York, NY 10012-3363 | 2017-09-11 |
| 1457434342 | Mark Steven Mckenzie | Acupuncturist | 2501 W 84th St, Bloomington, MN 55431-1602 | 2006-10-23 |
| 1427076447 | Mark Kevin Mckenzie | Family Medicine | 901 N Lake Destiny Rd, Ste 400, Maitland, FL 32751-4844 | 2006-07-17 |
| 1649296377 | Mark K Mckenzie | Orthopaedic Surgery | 215 Mcneel Ln, North Platte, NE 69101-6054 | 2006-07-14 |
| 1285659243 | Mark Edwin Mckenzie | Internal Medicine | 2010 Goldring Ave, 100, Las Vegas, NV 89106-4002 | 2006-07-12 |
| Street Address |
2375 NE HIGHWAY 99W |
| City | MCMINNVILLE |
| State | OR |
| Zip Code | 97128-9201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942686944 | Riley Miller | Pharmacist | 2375 Ne Highway 99w, Mcminnville, OR 97128-9201 | 2015-08-03 |
| 1881096394 | Lacee Braun | Pharmacist | 2375 Ne Highway 99w, Mcminnville, OR 97128-9201 | 2014-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565035 | Bkd Hillside Opco, LLC | Skilled Nursing Facility | 440 Nw Hillside Park Way, Mcminnville, OR 97128 | 2020-10-16 |
| 1811502636 | Sean Peter Christian Cavaghan | Counselor | 1900 Ne Hwy 99, Suite K, Mcminnville, OR 97128 | 2020-09-09 |
| 1386269637 | Tending The Vineyard | Clinic/Center | 127 Nw Highway 99w, Mcminnville, OR 97128 | 2020-06-12 |
| 1619441094 | Kami Naber | Counselor | 672 Ne Evans St, Mcminnville, OR 97128 | 2019-01-18 |
| 1720552102 | Lauren Nicole Abshire | Counselor | 672 Ne Evans Street, Mcminnville, OR 97128 | 2019-01-18 |
| 1366933376 | Maria G Guerrero | Specialist | 325 Nw Fenton St, Mcminnville, OR 97128 | 2018-05-24 |
| 1235628819 | Julie Luedtke | Health Educator | 300 Sw Hill Road South, Mcminnville, OR 97128 | 2018-05-09 |
| 1356838817 | Jacqueline Ann Hausman | Massage Therapist | 119 Ne 3rd St., Mcminnville, OR 97128 | 2018-04-19 |
| 1366960007 | Alexis R Burke | Counselor | 625 Ne Galloway, Mcminnville, OR 97128 | 2017-09-01 |
| 1871018705 | Amanda Rose Bunch | Counselor | 418 Se Holly Way, Mcminnville, OR 97128 | 2017-08-11 |
| Find all providers in zip 97128 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770893638 | Susan M Glad, Od, PC | Optometrist | 2375 N Highway 99w, Mcminnville, OR 97128-9201 | 2010-10-13 |
| 1760710958 | Nicholas L Clark | Optometrist | 2185 Nw 2nd St, Mcminnville, OR 97128-9108 | 2009-11-25 |
| 1821112863 | Brian David Morrissey | Optometrist | 2225 Ne Evans St, Mcminnville, OR 97128-2703 | 2007-03-16 |
| 1720127798 | Gary Crowell Od PC | Optometrist | 1291 N Hwy 99 W, Mcminnville, OR 97128 | 2007-02-06 |
| 1073694253 | Susan Marie Glad | Optometrist | 2375 North Highway 99w, Mcminnville, OR 97128 | 2006-10-17 |
| 1760406011 | Marion Andrew Dean Jr. | Optometrist | 2069 Smithville Highway, Mcminnville, TN 37110 | 2006-07-27 |
| 1194707315 | Gary Dean Crowell | Optometrist | 1341 Ne Highway 99w, Mcminnville, OR 97128-2722 | 2005-11-15 |
| 1972507317 | Lopasteeda Derosa Stephens | Optometrist | 915 N Chancery St, Ste 120, Mcminnville, TN 37110-1575 | 2005-06-13 |
| 1114585122 | Kelsey Danielle Elliott | Optometrist | 220 N Chancery St, Mcminnville, TN 37110-2551 | 2019-06-04 |
| 1366844763 | Lopasteeda Derosa Stephens | Optometrist | 1035 Smithville Hwy, Mcminnville, TN 37110-1691 | 2014-09-17 |
| Find all providers in MCMINNVILLE | ||||
| City | MCMINNVILLE |
| Zip Code | 97128 |
Please comment or provide details below to improve the information on MARK MCKENZIE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.