DR. MARC JEFFREY MALLIS MD
NPI 1811992050
Ophthalmology in New Port Richey, FL

Active since June 15, 2005
5347 MAIN ST, STE 102, NEW PORT RICHEY, FL 34652(727) 845-1343(727) 845-1343 Get Directions Write a Review

NPPES record last updated: February 24, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Marc Jeffrey Mallis Md NPPES

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

DR. MARC JEFFREY MALLIS MD (NPI 1811992050) is an individual ophthalmology provider in New Port Richey, Florida, licensed in Florida (ME 0037030) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1811992050
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. MARC JEFFREY MALLISCredential: MD
Location Address5347 MAIN ST, STE 102New Port Richey, FL 34652-2506
Mailing Address2975 Rolling Woods DrPalm Harbor, FL 34683-2131 · (727) 784-8060
Fax(727) 845-1343
Sole ProprietorNo
Enumeration DateJune 15, 2005
Last NPPES UpdateFebruary 24, 2009
NPI 1811992050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in FL · ME 0037030
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
5347 MAIN ST, New Port Richey, FL 34652

Other Identifiers 8

Medicare PIN79551DFL
Medicare PIN79551QFL
Medicare PIN79551EFL
Medicare PIN180041256GA
Medicare UPIND58840FL
Medicaid054865101FL
Medicare PIN79551AFL
Medicare PIN79511FFL

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.

Ophthalmology
5347 MAIN ST, SUITE 102
NEW PORT RICHEY, FL 34652
Ophthalmology
5347 MAIN ST
NEW PORT RICHEY, FL 34652
Internal Medicine (Hematology & Oncology)
5347 MAIN ST, SUITE 203
NEW PORT RICHEY, FL 34652
Hearing Instrument Specialist
5347 MAIN ST, SUITE 102
NEW PORT RICHEY, FL 34652
Dentist (Endodontics)
5347 MAIN ST, SUITE 301
NEW PORT RICHEY, FL 34652

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 Marc Mallis's NPI number?

The NPI number for Marc Mallis is 1811992050. It was assigned to this individual provider in the NPPES registry on June 15, 2005.

Where is Marc Mallis located?

Marc Mallis practices at 5347 Main St Ste 102, New Port Richey, FL 34652. The listed phone number is (727) 845-1343.

What is Marc Mallis's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

When was this NPI record last updated?

The NPPES record for Marc Mallis was last updated on February 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.