Dr. Mark A Provenzano is a Lake Jackson, Texas based male Optometrist with 36 years of experience in Optometry. He completed his graduation from University Of Houston - College Of Optometry in 1988. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Mark A Provenzano is 3979TG for Optometry in Texas. Dr. Mark A Provenzano 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. He 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. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Mark A Provenzano speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Experience:
36+ years
Medical School Attended:
University Of Houston - College Of Optometry
Graduation Year:
1988
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
123 Circle Way, Lake Jackson, Texas, 77566-5233
Phone:
979-299-3250
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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).
NPI details are as mentioned below.
PAC ID:
8224198916
Enrollment ID:
I20081126000099
NPI Number:
1942486428
NPI Enumeration Date:
15 Jan, 2008
NPI Last Update On:
21 Apr, 2009
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Mark A Provenzano are as mentioned below.
License Number
Specialization
State
Status
3979TG
Optometry
Texas
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Mark A Provenzano such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
80775Q
Other
BC/BS TX
1073607370
Other
RAILROAD MEDICARE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
123 Circle Way, Lake Jackson, Texas
Zip:
77566-5233
Phone Number:
979-299-3250
Fax Number:
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Patients can reach Dr. Mark A Provenzano at 123 Circle Way, Lake Jackson, Texas or can call to book an appointment on 979-299-3250. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.