What is Mark Medley's NPI number?

Mark Medley's National Provider Identifier (NPI) is 1124306279, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Mark Medley's specialty?

Mark Medley is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).

Where is Mark Medley located?

Mark Medley's practice location on file with NPPES is USA Meddac Fort Drum, Fort Drum, NY 13602.

What is Mark Medley's phone number?

The practice phone number listed in the NPPES registry for Mark Medley is (315) 772-2778.

Is Mark Medley's NPI active?

Yes — Mark Medley's NPI (1124306279) is active in the NPPES registry as of the last update on 2023-07-25.

IndividualActive

Mark Medley, O.D.

NPI 1124306279 · Optometrist · Fort Drum, NY

Mark Medley, O.D. is a Optometrist provider in Fort Drum, NY (NPI 1124306279).

Provider details

NPI number: 1124306279
Entity type: Individual
Primary specialty: OptometristEye and Vision Services Providers
Credential: O.D.
Sex: Male
Sole proprietor: No
License: 2987 (TN)

Specialties & taxonomies

OptometristPrimary152W00000XLicense 2987 (TN)
Eye and Vision Services Providers

Profile Score

Detailed profile(81/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
14 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

USA Meddac Fort Drum

11050 Mt. Belvedere Blvd.

Fort Drum, NY 13602

Phone: (315) 772-2778

Approximate (ZIP-level) locationGet directions

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Mailing address