Dr. Mark Buboltz
Optomitrist - Corneal and Contact Lenses
9801 Dupont Ave S Suite 200
Bloomington
, Minnesota 55431-3100
Dr. Mark Buboltz
Optomitrist - Corneal and Contact Lenses
9801 Dupont Ave S Suite 200
Bloomington
, Minnesota 55431-3100
(952) 888-5800
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About
Features
Specialties
- Optomitrist - Corneal and Contact Lenses
Languages spoken
- English
Location
First Address
- Dr. Mark Buboltz
- 9801 Dupont Ave S Suite 425
- Bloomington, MN
- Zip : 55431-3100
- Phone : (952) 888-5800
Second Address
- Dr. Mark Buboltz
- 9801 Dupont Ave S Suite 200
- Bloomington, MN
- Zip : 55431-3100
- Phone : (952) 888-5800
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 3376 | MN |
National Provider Identifier
| NPI | 1205249620 |
|---|---|
| Provider Name | Dr. Mark Buboltz |
| First Address | Bloomington, MN 55431-3100 |
| Second Address | Bloomington, MN 55431-3100 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/06/2014 |
| Last Update Date | 11/06/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.