DR. MARK JOSEPH MEDLEY II O.D.
NPI 1124306279
Optometrist in Fort Drum, NY

Q: What is Mark Medley's NPI number?

The NPI number for Mark Medley is 1124306279. It was assigned to this individual provider in the NPPES registry on July 22, 2011.

Q: What is Mark Medley's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Medley was last updated on July 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 22, 2011

USA MEDDAC FORT DRUM, 11050 MT. BELVEDERE BLVD., FORT DRUM, NY 13602(315) 772-2778 Get Directions Write a Review

NPPES record last updated: July 25, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Mark Joseph Medley Ii O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARK JOSEPH MEDLEY II O.D. (NPI 1124306279) is an individual optometrist in Fort Drum, New York, licensed in Tennessee (2987) and active in the NPI registry since July 2011.

NPPES Registry Identity

NPI1124306279

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. MARK JOSEPH MEDLEY IICredential: O.D.

Location AddressUSA MEDDAC FORT DRUM, 11050 MT. BELVEDERE BLVD.Fort Drum, NY 13602

Mailing AddressUsa Meddac Fort Drum, 11050 Mt. Belvedere Blvd.Fort Drum, NY 13602 · (157) 722-7783

Phone(315) 772-2778

Sole ProprietorNo

Enumeration DateJuly 22, 2011

Last NPPES UpdateJuly 25, 2023

NPPES CertifiedJuly 24, 2023

✔ NPI 1124306279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in TN · 2987

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

USA MEDDAC FORT DRUM, Fort Drum, NY 13602

Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Medley's NPI number?

The NPI number for Mark Medley is 1124306279. It was assigned to this individual provider in the NPPES registry on July 22, 2011.

Where is Mark Medley located?

Mark Medley practices at Usa Meddac Fort Drum 11050 Mt. Belvedere Blvd., Fort Drum, NY 13602. The listed phone number is (315) 772-2778.

What is Mark Medley's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Mark Medley was last updated on July 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.