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DR. MARK HENNEN OD
NPI 1215934559
Optometrist in Saint Paul, MN

Active since July 01, 2005
1540 HUMBOLDT AVE, SAINT PAUL, MN 55118(651) 457-2020 Get Directions Write a Review

NPPES record last updated: July 29, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Mark Hennen Od NPPES

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

DR. MARK HENNEN OD (NPI 1215934559) is an individual optometrist in Saint Paul, Minnesota, licensed in Minnesota (1944) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1215934559
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MARK HENNENCredential: OD
Location Address1540 HUMBOLDT AVESaint Paul, MN 55118-3417
Mailing Address1613 Atwater PathInver Grove Heights, MN 55077-1201 · (651) 455-6631
Phone(651) 457-2020
Sole ProprietorNo
Enumeration DateJuly 1, 2005
Last NPPES UpdateJuly 29, 2010
✔ NPI 1215934559 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 MN · 1944
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.
1540 HUMBOLDT AVE, Saint Paul, MN 55118
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Other Identifiers 3

Medicare ID-Type Unspecified410001239MN
Medicare UPINT39859MN
Medicaid237223100MN

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LAURA L FLOCKENCIER O.D.
Optometrist
1540 HUMBOLDT AVE
WEST ST PAUL, MN 55118
Dakota County (651) 457-2020
RACHEL ANN HENNEN OD
Optometrist
1540 HUMBOLDT AVE
WEST SAINT PAUL, MN 55118
Dakota County (651) 457-2020
DR. THOMAS ARTHUR VOGELPOHL O.D.
Optometrist
1540 HUMBOLDT AVE
SAINT PAUL, MN 55118
Dakota County (651) 457-2020
DAKOTA OPTOMETRIC EYE CARE ASSOCIATES, P.A.
Optometrist
1540 HUMBOLDT AVE, SUITE 201
SAINT PAUL, MN 55118
Dakota County (651) 457-2020
MATTHEW HENNEN O.D.
Optometrist
1540 HUMBOLDT AVE, SUITE 201
WEST ST PAUL, MN 55118
Dakota County (651) 457-2020

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 Hennen's NPI number?

The NPI number for Mark Hennen is 1215934559. It was assigned to this individual provider in the NPPES registry on July 1, 2005.

Where is Mark Hennen located?

Mark Hennen practices at 1540 Humboldt Ave, Saint Paul, MN 55118. The listed phone number is (651) 457-2020.

What is Mark Hennen'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 Hennen was last updated on July 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.