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MARK EDWARD STREET OD
NPI 1770897852
Optometrist in Philadelphia, PA

Active since August 02, 2010
1200 W GODFREY AVE, ADMINISTRATION SUITE, PHILADELPHIA, PA 19141(215) 276-6000(215) 276-1329 Get Directions Write a Review

NPPES record last updated: August 2, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mark Edward Street Od NPPES

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

MARK EDWARD STREET OD (NPI 1770897852) is an individual optometrist in Philadelphia, Pennsylvania, licensed in Pennsylvania (OEG002389) and active in the NPI registry since August 2010.

NPPES Registry Identity

NPI1770897852
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMARK EDWARD STREETCredential: OD
Location Address1200 W GODFREY AVE, ADMINISTRATION SUITEPhiladelphia, PA 19141-3323
Mailing Address1200 W Godfrey Ave, Administration SuitePhiladelphia, PA 19141-3323 · (215) 276-6000 · Fax (215) 276-1329
Phone(215) 276-6000
Fax(215) 276-1329
Sole ProprietorNo
Enumeration DateAugust 2, 2010
✔ NPI 1770897852 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 PA · OEG002389
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.
1200 W GODFREY AVE, Philadelphia, PA 19141
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Other Providers at the Same Location NPPES 20

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

DANIEL HOFFMAN O.D
Optometrist
1200 W GODFREY AVE
PHILADELPHIA, PA 19141
Philadelphia County (215) 276-6000
DR. CARLO J PELINO OD
Optometrist
1200 W GODFREY AVE
PHILADELPHIA, PA 19141
Philadelphia County (215) 276-6000
DR. JEAN MARIE PAGANI OD
Optometrist
1200 W GODFREY AVE
PHILADELPHIA, PA 19141
Philadelphia County (215) 276-6000
ELIZABETH MARIE MARUNDE OD
Optometrist
1200 W GODFREY AVE
PHILADELPHIA, PA 19141
Philadelphia County (215) 276-6000
DR. MELISSA A VITEK OPTOMETRIST
Optometrist
1200 W GODFREY AVE
PHILADELPHIA, PA 19141
Philadelphia County (215) 276-6000
JON KUZNIA OD
Optometrist
1200 W GODFREY AVE
PHILADELPHIA, PA 19141
Philadelphia County (215) 276-6000
AIRSHPREET KAUR
Optometrist
1200 W GODFREY AVE
PHILADELPHIA, PA 19141
Philadelphia County (215) 276-6000
DAWN MICHELLE CICCARONE
Occupational Therapist
1200 W GODFREY AVE, ADMINISTRATION SUITE
PHILADELPHIA, PA 19141
Philadelphia County (215) 276-6000

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 Street's NPI number?

The NPI number for Mark Street is 1770897852. It was assigned to this individual provider in the NPPES registry on August 2, 2010.

Where is Mark Street located?

Mark Street practices at 1200 W Godfrey Ave Administration Suite, Philadelphia, PA 19141. The listed phone number is (215) 276-6000.

What is Mark Street'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 Street was last updated on August 2, 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.