Mark W. Preslan, M.D., LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

D0033771 Issued in MD

Legal business name

MARK W. PRESLAN, M.D., LLC

Practice address

7671 Quarterfield Rd
Suite 304
Glen Burnie, MD 21061-4998

Phone

(443) 572-0655

Fax

(443) 572-0658

NPI assigned

Jul 27, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Mark William Preslan, M.D.

Title

Owner

Phone

(443) 572-0655

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388102400000",
    "number": "1952532855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7671 QUARTERFIELD RD",
            "address_2": "SUITE 304",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614998",
            "telephone_number": "443-572-0655",
            "fax_number": "443-572-0658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7671 QUARTERFIELD RD",
            "address_2": "SUITE 304",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614998",
            "telephone_number": "443-572-0655",
            "fax_number": "443-572-0658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK W. PRESLAN, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-27",
        "last_updated": "2013-12-27",
        "status": "A",
        "authorized_official_last_name": "PRESLAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-572-0655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0033771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "428711800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Ophthalmology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2013; 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.