Mark Deresienski is a Wakefield, Rhode Island based male Optometrist who is specialized in Optometry. Active license number of Mark Deresienski is ODTG00475 for Optometry in Rhode Island. Mark Deresienski 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:
Mark Deresienski 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.
Gender:
Male
Practice Address:
20 Hampton Way, Bldg#1a, Wakefield, Rhode Island, 02879-2553
Phone:
401-783-7009
Fax:
401-789-3909
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.
NPI Number:
1952494759
NPI Enumeration Date:
02 Oct, 2006
NPI Last Update On:
04 May, 2017
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mark Deresienski are as mentioned below.
License Number
Specialization
State
Status
ODTG00475
Optometry
Rhode Island
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mark Deresienski such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
7006708
Medicaid
Rhode Island
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
175 Paramount Dr, Suite 203 Raynham, Massachusetts
Zip:
02767-1065
Phone Number:
774-320-3040
Fax Number:
508-910-2204
Patients can reach Mark Deresienski at 20 Hampton Way, Bldg#1a, Wakefield, Rhode Island or can call to book an appointment on 401-783-7009. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Dr. Michael Raymond Iannuccilli, OD Speciality: Optometrist Address: 553 Kingstown Rd, Optometric Providers Of Rhode Island, Inc, RI Phone: 401-782-2100 Fax: 401-848-7402