Active NPI
Mark E. Allmaras O D P C
- Optometrist
- Merrillville, IN
National Provider Identifier
1376701037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18003325A
- Legal business name
- MARK E. ALLMARAS O D P C
- Practice address
- 2212 Southlake Mall
Merrillville, IN 46410-6441 - Phone
- (219) 736-0093
- NPI assigned
- May 29, 2008
- Reactivated
- Dec 1, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark E Allmaras, OD
- Title
- Optometrist
- Phone
- (219) 736-0093
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18003325A | IN | Primary |
Addresses
Primary practice location
2212 Southlake Mall
Merrillville, IN 46410-6441
Mailing address
2212 Southlake Mall
Merrillville, IN 46410-6441
Phone (219) 736-0093
National Provider Directory
National Provider DirectoryLocations
2212 Southlake Mall
Merrillville, IN 46410
Phone (219) 736-0093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1396483200000",
"number": "1376701037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2212 SOUTHLAKE MALL",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464106441",
"telephone_number": "219-736-0093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2212 SOUTHLAKE MALL",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464106441",
"telephone_number": "219-736-0093"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK E. ALLMARAS O D P C",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-29",
"last_updated": "2014-04-03",
"deactivation_date": "2008-06-03",
"reactivation_date": "2010-12-01",
"status": "A",
"authorized_official_last_name": "ALLMARAS",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "219-736-0093",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "IN",
"license": "18003325A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Merrillville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.