DR MARK C HURST OPTOMETRIST LTD (NPI# 1518102300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518102300 |
| Entity Type | Organization |
| Organization Name | DR MARK C HURST OPTOMETRIST LTD |
| Other Organization Name | DR MARK C HURST OPTOMETRIST LTD |
| Practice Address |
208 E 3rd St Centralia IL 62801-3902 |
| Mailing Address |
208 East 3rd Centralia IL 62801 |
| Practice Telephone | 6185322537 |
| Enumeration Date | 2008-12-08 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | MARK CLAUDE HURST (OD/OWNER) |
| Authorized Official Telephone | 6185322537 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| DR MARK C HURST OPTOMETRIST LTD | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 308 E Broadway, Centralia, IL 628013283 | 6185322537 | 6185322543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851561575 | Dr Mark C Hurst Optometrist Ltd | Eyewear Supplier (Equipment, not the service) | 4 Westwood Dr, Mount Vernon, IL 62864-2212 | 2008-03-10 |
| Street Address |
208 E 3RD ST |
| City | CENTRALIA |
| State | IL |
| Zip Code | 62801-3902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801071543 | Paul S Havrilka IIi | Registered Nurse | 208 E 3rd St, Centralia, IL 62801-3902 | 2007-12-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356996151 | Matthew Crawford | Counselor | 904 E Martin Luther King Dr, Centralia, IL 62801 | 2019-08-08 |
| 1588130314 | Kennah White | Counselor | 904 E. Mlk Drive, Centralia, IL 62801 | 2018-10-19 |
| 1245721588 | Lindsey Nicole Fogliasso | Counselor | 904 East Mlk Dr., Centralia, IL 62801 | 2018-05-22 |
| 1629573365 | Prabhat Shrestha | Student in an Organized Health Care Education/Training Program | 605 Sable Drive, Centralia, IL 62801 | 2018-03-26 |
| 1619496098 | Whitney Rathmann | Speech-Language Pathologist | 224 South Locust, Centralia, IL 62801 | 2017-09-17 |
| 1376082685 | Athena A Smith | Counselor | 904 E. Martin Luther King Dr, Centralia, IL 62801 | 2017-02-20 |
| 1447704069 | Meghan Branch | Counselor | 904 Martin Luther King Dr, Centralia, IL 62801 | 2016-08-11 |
| 1568820637 | Midland Area Agency On Aging | Case Management | 434 S Poplar Street, Centralia, IL 62801 | 2016-02-04 |
| 1104201714 | Keri Douglas | Nurse Practitioner | 1054 M. L. King Drive #125, Centrailia, IL 62801 | 2015-07-24 |
| 1215331509 | Melissa Dane | Counselor | 904 E Martin Luther King Dr., Centralia, IL 62801 | 2014-10-15 |
| Find all providers in zip 62801 | ||||
| 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 |
|---|---|---|---|---|
| 1629117023 | Joseph L. Dolezal | Optometrist | 1125 Mellen St, Centralia, WA 98531-1173 | 2007-02-05 |
| 1649332727 | Curtis Dean Burghart | Optometrist | 1203 S Gold St, Centralia, WA 98531-3715 | 2006-12-14 |
| 1558302240 | Robin Lee Johnson | Optometrist | 418 S Poplar, Suite 5, Centralia, IL 62801 | 2006-06-10 |
| 1720066699 | David Joe Luke | Optometrist | 121 N Allen St, Centralia, MO 65240-1301 | 2006-01-02 |
| 1235134982 | Kathleen M Rivera - Kunz | Optometrist | 408 W 2nd St, Centralia, IL 62801-3402 | 2005-06-18 |
| 1356710933 | Lewis County Vision Source PC | Optometrist | 1805 Cooks Hill Rd, Centralia, WA 98531-9072 | 2015-09-24 |
| 1295167732 | Amy Lee Ritzheimer | Optometrist | 899 E Mccord St, Centralia, IL 62801-3003 | 2013-08-07 |
| 1487933610 | Kelly Michele Padgett | Optometrist | 1805 Cooks Hill Rd, Centralia, WA 98531-9072 | 2011-08-05 |
| 1417193913 | Innovations In Eyecare Inc. | Optometrist | 1125 Mellen St, Centralia, WA 98531-1173 | 2009-01-05 |
| 1013194281 | Curtis D. Burghart, Od, Ps | Optometrist | 1203 S Gold St, Centralia, WA 98531-3715 | 2008-01-29 |
| Find all providers in CENTRALIA | ||||
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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.