Individual
DR. MARK DAVID PIFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1355 W MAIN ST, SUITE A, BELLEVUE, OH 44811-9082
(419) 483-7685
(419) 483-4694
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3486
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0664688
—
OH
Enumeration date
01/17/2006
Last updated
10/21/2020
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