Breeden, Mark Albert

Breeden, Mark Albert is an individual health care provider with primary practice located at 11500 Hannon Rd , Eagle Point OR 97524-9598. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Breeden, Mark Albert can be contacted via phone (541) 849-3168.

Contact Information

Primary practice address
11500 Hannon Rd Eagle Point OR 97524-9598
Phone: (541) 849-3168
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Eye and Vision Services Providers / Optometrist 152W00000X 3410ATI Oregon

Profile Details

NPI number 1063747145
LBN Legal business name Breeden, Mark Albert
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2009
Last updated Aug 31st, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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