Organization Active NPI

Mark E. Allmaras O D P C

  • Optometrist
  • Merrillville, IN
National Provider Identifier
1376701037
Registry record updated Apr 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003325A Issued in IN
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

Updated by the provider on Apr 3, 2014

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)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.