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DR. MARC JEFFREY MALLIS MD NPI 1811992050


NPI Information

NPI: 1811992050
Provider Name: DR. MARC JEFFREY MALLIS, MD
Classification: Ophthalmology - 207W00000X
Entity Type: Individual
Address:
5347 MAIN ST
STE 102
NEW PORT RICHEY, FL
ZIP 34652
Phone: (727) 845-1343
Get Directions

DR. Marc Jeffrey Mallis, MD is an ophthalmology in New Port Richey, FL. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. DR. Marc Jeffrey Mallis, MD NPI is 1811992050. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5347 MAIN ST
STE 102
NEW PORT RICHEY, FL
ZIP 34652-506
Phone: (727) 845-1343
Fax: (727) 845-1343

The enumeration date for this NPI number is 6/15/2005 and was last updated on 2/24/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmologyME 0037030FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
179551DMEDICARE PINFLORIDA
279551QMEDICARE PINFLORIDA
379551EMEDICARE PINFLORIDA
4180041256MEDICARE PINGEORGIA
5D58840MEDICARE UPINFLORIDA
6054865101MEDICAIDFLORIDA
779551AMEDICARE PINFLORIDA
879511FMEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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