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DR. MARK WILLIAM ACTON DO

>> Optometrist >> Eye and Vision Services Providers

Registrant NPI Number: 1558834622

Individual Registrant:
DR. MARK WILLIAM ACTON DO
Gender: M
Not Sole Proprietor

Location and contact information for practice:
6765 LANKERSHIM BLVD  NORTH HOLLYWOOD, CA 91606-1614 US
Tel: 818-982-0076  Fax: --

Contact information for business:
4427 KATHERINE AVE  SHERMAN OAKS, CA 91423-2706 US
Tel: --  Fax: --

Registration Information:
NPI: 1558834622
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y152W00000XEye and Vision Services Providers
Optometrist
CA34182TLG

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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