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MARK DERESIENSKI O.D.
NPI 1952494759
Optometrist in Wakefield, RI

Active since October 02, 2006
20 HAMPTON WAY, BLDG#1A, WAKEFIELD, RI 02879(401) 783-7009(401) 789-3909 Get Directions Write a Review

NPPES record last updated: May 4, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark Deresienski O.d. NPPES

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

MARK DERESIENSKI O.D. (NPI 1952494759) is an individual optometrist in Wakefield, Rhode Island, licensed in Rhode Island (ODTG00475) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1952494759
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMARK DERESIENSKICredential: O.D.
Location Address20 HAMPTON WAY, BLDG#1AWakefield, RI 02879-2553
Mailing Address175 Paramount Dr, Suite 203Raynham, MA 02767-1065 · (774) 320-3040 · Fax (508) 910-2204
Phone(401) 783-7009
Fax(401) 789-3909
Sole ProprietorNo
Enumeration DateOctober 2, 2006
Last NPPES UpdateMay 4, 2017
✔ NPI 1952494759 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 RI · ODTG00475
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.
20 HAMPTON WAY, Wakefield, RI 02879
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Other Identifiers 4

Medicare PINU400247695RI
Medicaid7006708RI
Medicare PIN0070082221RI
Medicare UPINT53793

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.

KOCH EYE ASSOCIATES LLP
Eyewear Supplier
20 HAMPTON WAY, BLDG 1A
WAKEFIELD, RI 02879
Washington County (401) 783-7009
NICOLE FANTONI O.D.
Optometrist
20 HAMPTON WAY, BLDG#1A
WAKEFIELD, RI 02879
Washington County (401) 783-7009
KOCH EYE ASSOCIATES, LLP
Ophthalmology
20 HAMPTON WAY, BUILDING #1A
WAKEFIELD, RI 02879
Washington County (401) 783-7009
BARRY M WEPMAN M.D.
Ophthalmology
20 HAMPTON WAY, BLDG #1A
WAKEFIELD, RI 02879
Washington County (401) 783-7009
DR. KRISTEN LEE BURNS
Optometrist
20 HAMPTON WAY, BLDG# 1A
WAKEFIELD, RI 02879
Washington County (401) 783-7009

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 Deresienski's NPI number?

The NPI number for Mark Deresienski is 1952494759. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Mark Deresienski located?

Mark Deresienski practices at 20 Hampton Way Bldg#1a, Wakefield, RI 02879. The listed phone number is (401) 783-7009.

What is Mark Deresienski'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 Deresienski was last updated on May 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.