Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mark Lawrence Mazow, MD

Individual provider Ophthalmic Plastic and Reconstructive Surgery Physician · NPI 1639173669

Dr. Mark Lawrence Mazow, MD is an Ophthalmology in Dallas, Texas. Qualified in 1986, 40 years ago. Practices with Texas Oculoplastic Consultants LLP, an 11-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
40
Licensed in
TX
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7777 Forest Ln Ste C-710
Dallas, TX 75230-2571
Phone: (972) 566-2020
Fax: (972) 566-5454
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence H2575 (TX)
Ophthalmic Plastic and Reconstructive Surgery Physician Taxonomy 207WX0200X · Licence H2575 (TX)

Record details

NPI number1639173669
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 8, 2005
Last updated in NPPESNovember 2, 2022
Certification dateNovember 2, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Group practice Texas Oculoplastic Consultants Llp — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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