MARK L BRYANT (NPI# 1508860099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508860099 |
| Entity Type | Individual |
| Full Name | MARK L BRYANT |
| Credential | O.D. |
| Practice Address |
1011 N 4th St Cordele GA 31015 |
| Mailing Address |
216 Corder Rd Warner Robins GA 31088-3604 |
| Practice Telephone | 2292730435 |
| Mailing Telephone | 4789235872 |
| Mailing Fax Number | 4789229020 |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2018-06-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WX0102X |
Optometrist Specialization: Occupational Vision |
001209 | GA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00415269A | 05 | |
| GA | RR MEDICARE | 410048938 | 01 |
| GA | AETNA | 483070 | 01 |
| GA | BCBS OF GA | 538385 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922078963 | Mark W Bryant | Chiropractor | 232 S Main St, Monticello, AR 71655-4730 | 2006-01-24 |
| 1467449868 | Mark Bryant | Optometrist | 4004 Tuscarawas St W, Canton, OH 44708-5503 | 2005-09-30 |
| 1194295295 | Mark Bryant | Non-emergency Medical Transport (VAN) | 466 Shadowood Dr, Ridgeland, MS 39157-4177 | 2018-11-30 |
| 1013211101 | Mark Douglas Bryant | Marriage & Family Therapist | 9343 Tech Center Dr Fl 2, Sacramento, CA 95826-2563 | 2011-01-04 |
| 1093939746 | Mark Kevin Bryant | Optometrist | 322 Washington St, Hoboken, NJ 07030-4832 | 2007-04-12 |
| 1174646087 | Mark Anthony Bryant | Physician Assistant | 19 Medical Loop, Suite 3, Whitley City, KY 42653 | 2007-04-06 |
| 1205954104 | Mark E Bryant | Military Health Care Provider | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2007-03-27 |
| 1194850255 | Mark Landon Bryant | Counselor | 6601 W 12th St, Little Rock, AR 72204-1513 | 2007-02-22 |
| Street Address |
1011 N 4TH ST |
| City | CORDELE |
| State | GA |
| Zip Code | 31015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508889601 | Gayton Health Centre | Optometrist | 1011 N 4th St, Cordele, GA 31015 | 2006-07-26 |
| 1992709463 | Myron R Wilson | Ophthalmology | 1011 N 4th St, Cordele, GA 31015-3660 | 2005-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618164 | Jeffrey Allen Wessel Jr. | Physical Therapist | 1107b Greer Street, Cordele, GA 31015 | 2020-08-03 |
| 1316502024 | Clifton Anthony Jordan | Specialist | 1106 East Ave Suite J, Cordele, GA 31015 | 2019-05-08 |
| 1336678440 | Robert Kenneth Lancaster | Dentist | 604 E 15th Avenue, Cordele, GA 31015 | 2017-06-12 |
| 1457602435 | Marvin Tolbert Mcafee IIi | Physician Assistant | 416 East 4th Ave, Suite B, Cordele, GA 31015 | 2012-10-01 |
| 1568719169 | Kimberly Bertelson | Physical Therapy Assistant | 1107 Greer Street, Suite B, Cordele, GA 31015 | 2012-08-14 |
| 1134474174 | R W Leitner Od LLC | Optometrist | 716-c 16th Ave East, Cordele, GA 31015 | 2012-07-16 |
| 1790048023 | Holly K Davis | Nurse Practitioner | 602 E 16th Ave Ste B, Cordele, GA 31015 | 2012-06-21 |
| 1508141482 | Beatrice Hurt Mckee | Nurse Practitioner | 216 Hospital Drive., Cordele, GA 31015 | 2011-10-11 |
| 1669784393 | Elisabeth R Waldrip | Dentist | 115 E 14th Avenue, Cordele, GA 31015 | 2010-07-10 |
| 1063656403 | Priscilla George Thomas | Surgery | 416 E 4th Ave # A, Cordele, GA 31015 | 2009-04-29 |
| Find all providers in zip 31015 | ||||
| Taxonomy Code | 152WX0102X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Occupational Vision |
| Optometrists who work in Occupational Vision, the branch of environmental optometry, consider all aspects of the relationship between work and vision, visual performances, eye safety, and health. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932752458 | Alisha Rose Wheeler | Optometrist | 2350 Atlanta Hwy Ste 110, Cumming, GA 30040-8027 | 2019-07-23 |
| 1871054692 | Zoya Optical LLC | Optometrist | 1154 N Point Cir, Alpharetta, GA 30022-4855 | 2019-03-26 |
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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.