Individual
MARK RICHARD ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1716 UNIVERSITY BLVD # G080A, BIRMINGHAM, AL 35233-1816
(205) 975-2020
(205) 934-6755
Mailing address
1716 UNIVERSITY BLVD G080A, BIRMINGHAM, AL 35294-0010
(205) 975-2020
(205) 934-6755
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T-231-TA-A73
AL
Other
Enumeration date
06/08/2017
Last updated
07/21/2022
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