Provider Demographics
NPI:1902931454
Name:WEEKS, MARK ALLEN (OD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:ALLEN
Last Name:WEEKS
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Gender:M
Credentials:OD
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Mailing Address - Street 1:9415 E HARRY ST
Mailing Address - Street 2:SUITE 304
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67207-5089
Mailing Address - Country:US
Mailing Address - Phone:316-686-8209
Mailing Address - Fax:316-686-2192
Practice Address - Street 1:9415 E HARRY ST
Practice Address - Street 2:SUITE 304
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67207-5089
Practice Address - Country:US
Practice Address - Phone:316-686-8209
Practice Address - Fax:316-686-2192
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-23
Last Update Date:2012-04-02
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Provider Licenses
StateLicense IDTaxonomies
KS1115-3152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist