Individual
MARK D TOMSIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3433 MAIN ST, MOSS POINT, MS 39563-5101
(228) 475-8641
(228) 475-8691
Mailing address
3433 MAIN ST, MOSS POINT, MS 39563-5101
(228) 475-8641
(228) 475-8691
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
520
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00087042
—
MS
01
—
410019863
MEDICARE RAILROAD
MS
Enumeration date
01/17/2006
Last updated
05/20/2008
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