# DR. KEION MARK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1962841072
- **Gender:** Man
- **Credential:** O.D,

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 270A00645900 | NJ | — |
| 152W00000X | Optometrist | OEG002772 | PA | — |
| 152W00000X | Optometrist | OPC5282 | FL | Yes |

## Other

- **Enumeration date:** 06/21/2013
- **Last updated:** 03/22/2024