Mark T Eggleston, MD
Ophthalmology in Clarkston, WA. Individual provider (NPI-1).
NPI number1306836705
StatusActive
Last updated in NPPESApr 30, 2008
Details
- NPI
- 1306836705
- Entity type
- Individual (NPI-1)
- Name
- Mark T Eggleston
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 26, 2005
- Last updated
- Apr 30, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OPHTHALMOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | MD00039323 | WA | Yes |
| 207W00000X | Ophthalmology | M8239 | ID |
Practice location
500 Port DriveClarkston, WA 99403-1835
Phone 509-758-8811 · Fax 509-751-1188
Mailing address
500 Port DriveClarkston, WA 99403-1835
Phone 509-758-8811 · Fax 509-751-1188
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Ophthalmology Physician providers in Clarkston, WA
- Chad Ryan Bouterse, D.O.NPI 1699896167
- Richard J Eggleston, MDNPI 1821088147
- Eye Care Specialists PsNPI 1639160450
- Eye Care Specialists PsNPI 1972514917
- W Richard Herbert MD PsNPI 1760632004
All 6 Ophthalmology Physician providers in Clarkston · All 526 providers in Clarkston
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