DR. MARK ROBERT HALLSTROM O.D.
NPI 1710274303
Optometrist in Minneapolis, MN

Q: What is Mark Hallstrom's NPI number?

The NPI number for Mark Hallstrom is 1710274303. It was assigned to this individual provider in the NPPES registry on July 1, 2011.

Q: What is Mark Hallstrom'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 Hallstrom was last updated on December 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 01, 2011

2311 WAYZATA BLVD S, MINNEAPOLIS, MN 55405(612) 377-5192 Get Directions Write a Review

NPPES record last updated: December 9, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Mark Robert Hallstrom O.d. NPPES

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

DR. MARK ROBERT HALLSTROM O.D. (NPI 1710274303) is an individual optometrist in Minneapolis, Minnesota, licensed in Minnesota (3233) and active in the NPI registry since July 2011.

NPPES Registry Identity

NPI1710274303

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. MARK ROBERT HALLSTROMCredential: O.D.

Location Address2311 WAYZATA BLVD SMinneapolis, MN 55405-2119

Mailing Address2311 Wayzata Blvd SMinneapolis, MN 55405-2119 · (612) 377-5192

Phone(612) 377-5192

Sole ProprietorNo

Enumeration DateJuly 1, 2011

Last NPPES UpdateDecember 9, 2011

✔ NPI 1710274303 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 · 3233

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.

2311 WAYZATA BLVD S, Minneapolis, MN 55405

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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 Hallstrom's NPI number?

The NPI number for Mark Hallstrom is 1710274303. It was assigned to this individual provider in the NPPES registry on July 1, 2011.

Where is Mark Hallstrom located?

Mark Hallstrom practices at 2311 Wayzata Blvd S, Minneapolis, MN 55405. The listed phone number is (612) 377-5192.

What is Mark Hallstrom'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 Hallstrom was last updated on December 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.