Mark E Mather, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1626 Issued in IA

Practice address

1700 Park Ave
Muscatine, IA 52761-5434

Phone

(563) 263-2020

NPI assigned

Jun 13, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200614400000",
    "number": "1750385159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2682 TOM SAWYER RD",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527619755",
            "telephone_number": "563-263-0376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 PARK AVE",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527615434",
            "telephone_number": "563-263-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHER",
        "first_name": "MARK",
        "middle_name": "E",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2008-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "1626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4047431",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3047431",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Mann, PA-C
• Fabiola Ioana Manyi-Orellana
• Sage Marske
• Katie Martin
• Kristin Anne Martin, LMHC
• Kirsten Corin Maxwell, ARNP
• Richard Maynard, CRNA
• Cole McClary
• Kathleen McDaniel-Shaman, BA
• Janet McDaniel, L.M.H.C. N.C.C

• Optometrist in Muscatine, IA
• Providers in Muscatine, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.