Dr Mark C Hurst Optometrist LTD

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DR MARK C HURST OPTOMETRIST LTD

Doing business as

Dr Mark C Hurst Optometrist LTD

Practice address

208 E 3Rd St
Centralia, IL 62801-3902

Phone

(618) 532-2537

NPI assigned

Dec 8, 2008

Last updated

Mar 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Claude Hurst

Title

OD/Owner

Phone

(618) 532-2537

Specialties & licenses 1

Addresses

Other names 1

• DR MARK C HURST OPTOMETRIST LTD Doing business as

Locations

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

{
    "created_epoch": "1228694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1518102300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 EAST 3RD",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "62801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 E 3RD ST",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628013902",
            "telephone_number": "618-532-2537"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "308 E Broadway",
            "address_purpose": "LOCATION",
            "city": "Centralia",
            "state": "IL",
            "postal_code": "628013283",
            "country_code": "US",
            "telephone_number": "618-532-2537",
            "fax_number": "618-532-2543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR MARK C HURST OPTOMETRIST LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-08",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "HURST",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "CLAUDE",
        "authorized_official_title_or_position": "OD/OWNER",
        "authorized_official_telephone_number": "618-532-2537"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DR MARK C HURST OPTOMETRIST LTD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Centralia, IL
• Providers in Centralia, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.