Mark B Vallo, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3153 Issued in OH

Practice address

655 Wagner Ave
Greenville, OH 45331-2648

Phone

(937) 548-4940

Fax

(937) 548-1847

NPI assigned

Aug 31, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dickman Kettler & Bruner Inc

  • Optometrist
  • Coldwater, OH
  • NPI 1558478453
  NPD (past)
• DRS. Vallo Fisher Inc

  • Optometrist
  • Greenville, OH
  • NPI 1619082997
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266278400000",
    "number": "1992816904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 WAGNER AVE",
            "address_2": "P.O. BOX 629",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453312648",
            "telephone_number": "937-548-4940",
            "fax_number": "937-548-1847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 WAGNER AVE",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453312648",
            "telephone_number": "937-548-4940",
            "fax_number": "937-548-1847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLO",
        "first_name": "MARK",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lance Turner, LCDCII
• Ezechukwu O Umeh, M.D.
• Beoline Uwampamo, DDS
• Anthony C Vacca, D.O.
• Susan Valentine, SP
• Tina Vanbebber
• William Edward Vanbebber
• Beth Boyer Vehre, MD
• Cierra Ventura
• Village Green Rehabilitation and Healthcare Center LLC

• All providers in Greenville, OH
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; 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.