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DR. MARK VINCENT MADDOX O.D.
NPI 1770611196
Optometrist in Macon, MO

Active since February 28, 2007
1705 PROSPECT DR, MACON, MO 63552(660) 385-5724(660) 385-3924 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Mark Vincent Maddox O.d. NPPES

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

DR. MARK VINCENT MADDOX O.D. (NPI 1770611196) is an individual optometrist in Macon, Missouri, licensed in Missouri (T02344) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1770611196
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MARK VINCENT MADDOXCredential: O.D.
Location Address1705 PROSPECT DRMacon, MO 63552-2602
Mailing Address808 Sunset DrMacon, MO 63552-1063 · (660) 385-3555
Phone(660) 385-5724
Fax(660) 385-3924
Sole ProprietorNo
Enumeration DateFebruary 28, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1770611196 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 MO · T02344
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.
1705 PROSPECT DR, Macon, MO 63552
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Other Identifiers 2

Medicare UPINT42550MO
Other195245MO · Healthlink

Other Providers at the Same Location NPPES 2

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

VISION CARE ASSOCIATES, LLC
Optometrist
1705 PROSPECT DR
MACON, MO 63552
Macon County (660) 385-5724
DR. CRAIG A ROSE O.D.
Optometrist
1705 PROSPECT DR
MACON, MO 63552
Macon County (660) 385-5724

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 Maddox's NPI number?

The NPI number for Mark Maddox is 1770611196. It was assigned to this individual provider in the NPPES registry on February 28, 2007.

Where is Mark Maddox located?

Mark Maddox practices at 1705 Prospect Dr, Macon, MO 63552. The listed phone number is (660) 385-5724.

What is Mark Maddox'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 Maddox was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.