Individual provider · NPI-1

Mark David Handmacher

Technician/Technologist, Optician · San Diego, CA

NPI number1043438666

StatusActive

Last updated in NPPESDec 18, 2008

Details

NPI: 1043438666
Entity type: Individual (NPI-1)
Name: Mr. Mark David Handmacher
Sex: Male
Sole proprietor: Yes
Enumeration date: Apr 20, 2007
Last updated: Dec 18, 2008

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
156FX1800X	Technician/Technologist, Optician	D 3439	CA	Yes

Practice location

325 W. Washington St.
Insight Optical Center
San Diego, CA 92103

Phone 619-291-3937 · Fax 619-291-3937

Mailing address

325 W. Washington St.
Insight Optical Center
San Diego, CA 92103

Phone 619-291-3937 · Fax 619-291-3937

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