Organization Active NPI

Dr Mark Landau

  • Optometrist
  • Wyomissing, PA
National Provider Identifier
1366687360
Registry record updated Dec 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OE005894T Issued in PA
Legal business name
DR MARK LANDAU
Practice address
555 Van Reed Rd
Wyomissing, PA 19610-1756
Phone
(610) 378-5560
Fax
(610) 378-1400
NPI assigned
Dec 5, 2008
Last updated
Dec 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Mark F LandauNPI 1164413316
Title
Owner
Phone
(610) 378-5560

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OE005894T PA Primary

Addresses

Primary practice location

555 Van Reed Rd
Wyomissing, PA 19610-1756

Mailing address

555 Van Reed Rd
Wyomissing, PA 19610-1756
Phone (610) 378-5560

National Provider Directory

National Provider Directory

Locations

555 Van Reed Rd
Wyomissing, PA 19610
Phone (610) 378-5560

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1228435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228435200000",
    "number": "1366687360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 VAN REED RD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101756",
            "telephone_number": "610-378-5560",
            "fax_number": "610-378-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 VAN REED RD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101756",
            "telephone_number": "610-378-5560",
            "fax_number": "610-378-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MARK LANDAU",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-05",
        "last_updated": "2008-12-05",
        "status": "A",
        "authorized_official_last_name": "LANDAU",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-378-5560",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OE005894T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.