Mark Ian Pelzner, OD Valid NPI
Individual provider · Optometrist · Roseville, CA
- NPI
- 1679626469
- Type
- Individual (Type 1)
- Primary specialty
- Optometrist
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 152W00000X
- License number
- 11433T (CA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-01-18
- Last updated
- 2021-12-30
Practice location
1001 Riverside Ave
Roseville, CA 95678-5134
(916) 746-6412