Individual
DR. MARK L OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1748 BROADWAY ST, PADUCAH, KY 42001-2706
(270) 443-9955
(270) 442-1469
Mailing address
PO BOX 7009, PADUCAH, KY 42002-7009
(270) 443-9955
(270) 442-1469
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
941DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000199246
BLUE CROSS BLUE SHIELD
KY
01
—
277290
HEALTHLINK
KY
01
—
5789371
AETNA
KY
05
—
77009413
—
KY
01
—
T54726
BLUEGRASS FAMILY HEALTH
KY
Enumeration date
02/17/2006
Last updated
03/07/2023
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