MARK ALLEN OBENCHAIN (NPI# 1376983874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376983874 |
| Entity Type | Individual |
| Full Name | MARK ALLEN OBENCHAIN |
| Credential | OD |
| Practice Address |
5101 N. Davis Hwy Suite A Pensacola FL 32503-2040 |
| Mailing Address |
15933 Clayton Rd Suite 201 Ballwin MO 63011-2172 |
| Practice Telephone | 8504797379 |
| Practice Fax Number | 8504976219 |
| Mailing Telephone | 6362004393 |
| Mailing Fax Number | 6365270838 |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2017-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPC5023 | FL | Eye and Vision Services Providers |
| N | 152WL0500X |
Optometrist Specialization: Low Vision Rehabilitation |
OPC5023 | FL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | FLORIDA BLUE | 190NO | 01 |
| FL | 014082700 | 05 |
| Street Address |
5101 N. DAVIS HWY SUITE A |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32503-2040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881037109 | Robert Louis Constantine Jr. | Occupational Therapist | 5101 N. Davis Hwy, Suite A, Pensacola, FL 32503-2040 | 2013-04-17 |
| 1245611268 | Panhandle Cataract and Laser Institute LLC | Optometrist | 5101 N. Davis Hwy, Pensacola, FL 32503-2040 | 2015-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727472 | Lauren Barrett Evans | Nurse Practitioner | 4700 Bayou Boulevard, Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1528666864 | Kelsey Christine Kvartek | Nurse Practitioner | 4700 Bayou Blvd., Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1730790551 | Sacred Heart Hospital of Pensacola | Podiatrist | 1890 Summit Blvd, Pensacola, FL 32503 | 2020-08-14 |
| 1891312815 | Sacred Heart Asc, LLC | Clinic/Center | 1890 Summit Boulevard, Suite 210, Pensacola, FL 32503 | 2020-06-26 |
| 1275011744 | Teresa T Jansen | Registered Nurse | 5051 Carpenters Creek Dr, Pensacola, FL 32503 | 2018-08-06 |
| 1639662729 | Florida Physical Therapy Services of Pensacola, LLC | Occupational Therapist | 428 Airport Blvd, Pensacola, FL 32503 | 2018-06-13 |
| 1922595123 | Touch of Love Home Health Care LLC | Home Health | 139 E Burgess Rd Ste B, Pensacola, FL 32503 | 2018-04-13 |
| 1770012106 | Amber Mcclellan | Occupational Therapist | 4551 North Davis Highway, Suite C, Pensacola, FL 32503 | 2017-06-08 |
| 1780123885 | Corinne Georgette-marie Carlson | Registered Nurse | 6809 White Oak Drive, Pensacola, FL 32503 | 2017-02-22 |
| 1538615232 | Kristin E Patton | Dietitian, Registered | 4501 North Davis Hwy, Suite C, Pensacola, FL 32503 | 2016-09-01 |
| Find all providers in zip 32503 | ||||
| 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 |
|---|---|---|---|---|
| 1104470350 | Abby Luray Nice | Optometrist | 1630 Airport Blvd Ste 230, Pensacola, FL 32504-8637 | 2019-07-26 |
| 1013431600 | Megan Wohlers | Optometrist | 12591 Sorrento Rd Ste B, Pensacola, FL 32507 | 2017-07-26 |
| 1124481676 | Star Rostankovski | Optometrist | 6700 N Davis Hwy, Pensacola, FL 32504-6304 | 2016-04-01 |
| 1750761375 | Congleton Eye Care, LLC | Optometrist | 4600 Mobile Hwy, Suite 122, Pensacola, FL 32506 | 2015-06-09 |
| 1164789806 | Daniel & Max | Optometrist | 7000 N Davis Hwy # A, Pensacola, FL 32504-6309 | 2012-04-19 |
| 1902128960 | Owens & Reynolds Inc | Optometrist | 800 N 12th Ave, Pensacola, FL 32501-3303 | 2010-02-18 |
| 1447491238 | Barry J Stein Od Pa | Optometrist | 6601 N Davis Hwy Ste 1b, Pensacola, FL 32504-6210 | 2009-03-09 |
| 1063665693 | Rodney Taylor | Optometrist | 46 Faison St, Pensacola, FL 32505-1885 | 2008-10-28 |
| 1831345503 | Paul Raymond Mayo II | Optometrist | 450 Turner St Bldg 3600, Pensacola, FL 32508-5211 | 2008-08-13 |
| 1457416562 | Coastal Family Eyecare Inc | Optometrist | 3960 W Navy Blvd, Suite 1, Pensacola, FL 32507-1265 | 2006-12-27 |
| Find all providers in PENSACOLA | ||||
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| 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.